IndividualActive
Charles Dougherty, M.D.
NPI 1134100100 · Pediatrics Physician · Saint Louis, MO
Charles Dougherty, M.D. is a Pediatrics Physician provider in Saint Louis, MO (NPI 1134100100).
Provider details
- NPI number
- 1134100100
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- R6070 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13303 Tesson Ferry Rd
Saint Louis, MO 63128-4062
Phone: (314) 842-5239
Fax: (314) 842-3835
Street-level locationGet directions
Mailing address
Po Box 23340
Saint Louis, MO 63156-3340
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2012-09-21
Frequently asked questions
- What is Charles Dougherty's NPI number?
- Charles Dougherty's National Provider Identifier (NPI) is 1134100100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Dougherty's specialty?
- Charles Dougherty is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Dougherty located?
- Charles Dougherty's practice location on file with NPPES is 13303 Tesson Ferry Rd, Saint Louis, MO 63128-4062.
- What is Charles Dougherty's phone number?
- The practice phone number listed in the NPPES registry for Charles Dougherty is (314) 842-5239.
- Is Charles Dougherty's NPI active?
- Yes — Charles Dougherty's NPI (1134100100) is active in the NPPES registry as of the last update on 2012-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.