DR. CHARLES A. JR. MANGHAM (MD, MS) – Otology & Neurotology Physician, NPI 1972565224

DR. CHARLES A. JR. MANGHAM (MD, MS) is a healthcare provider. based in Boise, Idaho. specializing in Otology & Neurotology Physician. They hold the professional credentials MD, MS. They hold a License No. MD00013302 (WA). The NPI Number for DR. CHARLES A. JR. MANGHAM (MD, MS) is 1972565224

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES A. JR. MANGHAM (MD, MS)
NPI
1972565224
Phone
(208) 381-2222
Address
190 E BANNOCK ST
Enumeration Date
3 April 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1970 (56 years ago)
PAC ID
9739110305
Group Practice PAC ID
3173783818
Professional Enrollment ID
I20140714002385
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHARLES A. JR. MANGHAM (MD, MS)

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Type: Mailing

  • Heath Building, 801, Broadway, First Hill, Seattle, King County, Washington, 98122, United States

    STE 830

    SEATTLE, WA 981224396

    Phone: (206) 328-4327

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83712)

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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: 3173783818View full group profile
NameSpecialtyState
Family PracticeID
Family PracticeID
Cardiovascular Disease (Cardiology)MN
Family PracticeID
-NM
O B S T E T R I C S/ G Y N E C O L O G YID
Physician AssistantID
P S Y C H I A T R YID
Gastroenterology, Internal Medicine, Family PracticeMT
Family PracticeID

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Frequently asked questions

Can I verify DR. CHARLES A. JR. MANGHAM (MD, MS) with an NPI only?
You can start verification with NPI 1972565224 for DR. CHARLES A. JR. MANGHAM (MD, MS), then check state licensing separately.
Does CMS list DR. CHARLES A. JR. MANGHAM (MD, MS) as active?
Yes — DR. CHARLES A. JR. MANGHAM (MD, MS) is active in the NPI listing used on this page.
What is DR. CHARLES A. JR. MANGHAM (MD, MS)'s specialty?
The listing groups DR. CHARLES A. JR. MANGHAM (MD, MS) with Otology & Neurotology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. CHARLES A. JR. MANGHAM (MD, MS) serve?
DR. CHARLES A. JR. MANGHAM (MD, MS)'s listing highlights Boise, Idaho; more addresses can appear in NPPES.
Is the information about DR. CHARLES A. JR. MANGHAM (MD, MS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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