Individual provider Active NPI

Charles Logan Brown, SLP

  • Speech-Language Pathologist
  • High Point, NC
National Provider Identifier
1043093099
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30000844 Issued in NC
Practice address
1114 Eastchester Dr
High Point, NC 27265-3114
Phone
(336) 802-1007
Fax
(336) 888-3585
NPI assigned
Aug 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL018979 PA
Speech-Language Pathologist 235Z00000X 30000844 NC Primary
Speech-Language Pathologist 235Z00000X 124682 TX

Addresses

Primary practice location

1114 Eastchester Dr
High Point, NC 27265-3114

Mailing address

PO Box 749
Belmont, NC 28012
Phone (704) 869-2088

Other identifiers 2

IdentifierTypeStateIssuer
1043093099MedicaidNC
104598210-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260106004020 NC Practitioner - Qualified Speech Language Pathologist 2769978097 Reassigns benefits to 1 organization
I20260112000377 TX Practitioner - Qualified Speech Language Pathologist 2769978097 Reassigns benefits to 1 organization
I20260122002820 PA Practitioner - Qualified Speech Language Pathologist 2769978097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

2530 Meridian Pkwy
Suite 300
Durham, NC 27713-5273
Phone (512) 399-0064

3800 N Lamar Blvd
Suite 200
Austin, TX 78756-0003
Phone (512) 377-6318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124682TXMDOccupational Therapist
30000844NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Dec 14, 2025 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Feb 5, 2026 Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC PastSince Aug 27, 2023 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

2807 Allen St
Dallas, TX 75204
Phone (469) 781-1478

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1043093099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "28012",
            "telephone_number": "704-869-2088",
            "fax_number": "980-288-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 EASTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653114",
            "telephone_number": "336-802-1007",
            "fax_number": "336-888-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHARLES",
        "middle_name": "LOGAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL018979",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30000844",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "124682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043093099",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104598210-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.