Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles K Wanich, MD

Individual provider Nephrology Physician · NPI 1376642355

Charles K Wanich, MD is a Nephrology in Merritt Island, Florida. Qualified in 1972, 54 years ago. Practices with Brevard Nephrology Group PA, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
54
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

245 S Courtenay Pkwy Bldg B
Merritt Island, FL 32952
Phone: (321) 453-5326
Fax: (321) 452-8507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME36933 (FL)

Record details

NPI number1376642355
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESOctober 26, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Brevard Nephrology Group Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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