MR. CHARLES KEITH FUNDERBURK (MD) – Family Medicine Physician, NPI 1447249750

MR. CHARLES KEITH FUNDERBURK (MD) is a healthcare provider. based in Clanton, Alabama. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 8358 (AL). The NPI Number for MR. CHARLES KEITH FUNDERBURK (MD) is 1447249750

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES KEITH FUNDERBURK (MD)
NPI
1447249750
Phone
(205) 755-5700
Address
PO BOX 1850
Enumeration Date
19 October 2005
Last Update Date
16 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2057555700
Graduation Year
1977 (49 years ago)
PAC ID
7012978588
Group Practice PAC ID
9638197460
Professional Enrollment ID
I20041019001139
Address ID
AL350452332CL108XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,756 FAMILY PRACTICE in AL

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Provider Addresses for MR. CHARLES KEITH FUNDERBURK (MD)

  • Clanton Post Office, 1st Avenue North, Clanton, Chilton County, Alabama, 35045, United States

    CLANTON, AL 350461850

    Phone: (205) 755-5700

    Fax: (205) 755-4966

    Type: Mailing

  • 108, Medical Center Drive, Clanton, Chilton County, Alabama, 35045, United States

    CLANTON, AL 350452332

    Phone: (205) 755-5700

    Fax: (205) 755-4966

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $973.

Total Amount is formed as General ($973) + Research ($0) + Ownership ($0) = $973.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($189).

Total Amount

$973

General + Research + Ownership

Payments

59

Total payment records

General Amount

$973

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041019001139IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month77897$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count165117$0
99214Established patient office or other outpatient visit, 30-39 minutes151112$0
99213Established patient office or other outpatient visit, 20-29 minutes13381$0
J0696Injection, ceftriaxone sodium, per 250 mg10521$0
View full utilization report →

Insurance plans in this area (ZIP 35046)

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Provider's Procedures

MR. CHARLES KEITH FUNDERBURK (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEAL73630X-ray of foot, minimum of 3 views1612

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638197460View full group profile
NameSpecialtyState
Internal MedicineAL
Family PracticeAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

What is the registry number for MR. CHARLES KEITH FUNDERBURK (MD)?
The registry entry for MR. CHARLES KEITH FUNDERBURK (MD) shows NPI 1447249750.
Quick check: is MR. CHARLES KEITH FUNDERBURK (MD) active?
Public NPPES data shows MR. CHARLES KEITH FUNDERBURK (MD) with an active NPI status right now.
What does the directory say MR. CHARLES KEITH FUNDERBURK (MD) does?
Insurance directories may phrase it differently, but here MR. CHARLES KEITH FUNDERBURK (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MR. CHARLES KEITH FUNDERBURK (MD) tied to Clanton, Alabama?
If you are local to Clanton, Alabama, MR. CHARLES KEITH FUNDERBURK (MD) may be relevant to your search.
Who maintains MR. CHARLES KEITH FUNDERBURK (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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