CHARLES FULLER BETHEA (MD) – Cardiovascular Disease Physician, NPI 1528062577

CHARLES FULLER BETHEA (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 9865 (OK). The NPI Number for CHARLES FULLER BETHEA (MD) is 1528062577

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES FULLER BETHEA (MD)
NPI
1528062577
Phone
(405) 947-3341
Address
3433 NW 56TH ST
Enumeration Date
8 June 2005
Last Update Date
12 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4059473341
Graduation Year
1971 (55 years ago)
PAC ID
3779496922
Group Practice PAC ID
3577730068
Professional Enrollment ID
I20091221000595
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for CHARLES FULLER BETHEA (MD)

  • Northwest 56th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    STE 400

    OKLAHOMA CITY, OK 731124430

    Phone: (405) 947-3341

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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 73112)

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Provider's Procedures

CHARLES FULLER BETHEA (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)OK85610Blood test, clotting time27428
CARDIOVASCULAR DISEASE (CARDIOLOGY)OK93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report196185

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: 3577730068View full group profile
NameSpecialtyState
Pulmonary DiseaseTN
Nurse PractitionerOK
Physician AssistantOK
-OK
Physician AssistantOK
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineOK
Interventional Cardiology, Cardiovascular Disease (Cardiology)AZ
Nurse PractitionerOK
Vascular SurgeryOK
Physician AssistantOK

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Frequently asked questions

Is there an official ID for CHARLES FULLER BETHEA (MD) in U.S. healthcare records?
The official identifier for CHARLES FULLER BETHEA (MD) is NPI 1528062577.
Active or inactive — what applies to CHARLES FULLER BETHEA (MD)?
You should see CHARLES FULLER BETHEA (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to CHARLES FULLER BETHEA (MD)?
CHARLES FULLER BETHEA (MD)'s specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CHARLES FULLER BETHEA (MD)?
Directory geography for CHARLES FULLER BETHEA (MD) centers on Oklahoma City, Oklahoma.
Does CHARLES FULLER BETHEA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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