Active NPI
Charlene Renee Brown, MD
- Psychiatry Physician
- Sunrise, FL
National Provider Identifier
1235257718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- S6806
- Practice address
- 1643 NW 136TH Ave
Sunrise, FL 33323-3091 - Phone
- (888) 447-2362
- Fax
- (865) 560-7110
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | S6806 | TX | Primary |
| Psychiatry Physician | 2084P0800X | MD452736 | PA | |
| Psychiatry Physician | 2084P0800X | 27013 | MS | |
| Psychiatry Physician | 2084P0800X | ME 97883 | FL | |
| Psychiatry Physician | 2084P0800X | 306392 | NY | |
| Psychiatry Physician | 2084P0800X | MD58769 | AZ | |
| Psychiatry Physician | 2084P0800X | 0101270874 | VA | |
| Psychiatry Physician | 2084P0800X | E-15042 | AR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036121068 | IL |
Addresses
Primary practice location
1643 NW 136TH Ave
Sunrise, FL 33323-3091
Mailing address
1997 Highway 51 S
Covington, TN 38019-3630
Phone (630) 859-6800
Other practice location 1
1997 Highway 51 S
Covington, TN 38019-3630
Phone (901) 476-8967
Other practice location 2
11353 Sugar Park Ln
Sugar Land, TX 77478-1407
Phone (281) 276-2050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04515143 | Other | IL | BCBS# |
| 036-121068 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-15042 | AR | MD | Psychiatry Physician |
| ME 97883 | FL | MD | Psychiatry Physician |
| S6806 | TX | MD | Psychiatry Physician |
| 0101270874 | VA | MD | Psychiatry Physician |
| 036121068 | IL | MD | Child & Adolescent Psychiatry Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Holly Springs, MS
- NPI 1073042925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1235257718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1997 HIGHWAY 51 S",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193630",
"telephone_number": "630-859-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 NW 136TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333233091",
"telephone_number": "888-447-2362",
"fax_number": "865-560-7110"
}
],
"practiceLocations": [
{
"address_1": "1997 Highway 51 S",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "TN",
"postal_code": "380193630",
"country_code": "US",
"telephone_number": "901-476-8967",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11353 Sugar Park Ln",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774781407",
"country_code": "US",
"telephone_number": "281-276-2050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "CHARLENE",
"middle_name": "RENEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S6806",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD452736",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "27013",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 97883",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "306392",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "MD58769",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101270874",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-15042",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036121068",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS#",
"identifier": "04515143",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-121068",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
- Broward Health & Rehab Corporation
- Broward Internal Medicine P a
- Broward-Palm Beach Home Care Services, Inc. (Home Helpers & Direct Link of Broward and Palm Beach)
- Diana Brown Omeally, RN
- Alexia K Brown
- Elizabeth Brown, NP
- Jennifer Renee Brown
- Laurel V Brown, LCSW
- Mekelayaie Brown, CRNA
- Roger H. Brown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.