Provider Demographics
NPI:1386814606
Name:HAYDEN, CHARLES R JR (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:R
Last Name:HAYDEN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 RESEARCH DR NW
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-5910
Mailing Address - Country:US
Mailing Address - Phone:256-722-1999
Mailing Address - Fax:256-722-1366
Practice Address - Street 1:5151 RESEARCH DR NW
Practice Address - Street 2:SUITE B-1
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-5910
Practice Address - Country:US
Practice Address - Phone:256-722-1999
Practice Address - Fax:256-722-1366
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL127292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL260027948OtherRR MEDICARE
AL009932447Medicaid
AL051531159OtherBCBS
AL051556483Medicare PIN