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NPI 1750492856 · live from the CMS NPI Registry

Charles D Blackwell, MD

Emergency Medicine in Minneapolis, MN. National Provider Identifier 1750492856, active.

NPI record

NPI1750492856 Type 1 · individual
StatusActive
Primary specialtyEmergency Medicine 207P00000X
Practice location2525 Chicago Avenue South, Childrens Hospitals And Clinics Emergency Physicians Mp, Minneapolis, MN 55404
Practice phone612-813-6111
Mailing address2910 Centre Pointe Drive, 35-121a Childrens Health Care, Roseville, MN 55113
EnumeratedAugust 31, 2006
Last updatedSeptember 11, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Emergency Medicine primary207P00000X46524 (MN)
Emergency Medicine, Pediatric Emergency Medicine207PP0204X46524 (MN)
Pediatrics208000000X46524 (MN)
Pediatrics, Pediatric Emergency Medicine2080P0204X46524 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.