Individual provider Active NPI

Charlene Renee Brown, MD

  • Psychiatry Physician
  • Sunrise, FL
National Provider Identifier
1235257718
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S6806 Issued in TX
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04515143OtherILBCBS#
036-121068MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001004531 MS Practitioner - Psychiatry 6608063755 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-15042ARMDPsychiatry Physician
ME 97883FLMDPsychiatry Physician
S6806TXMDPsychiatry Physician
0101270874VAMDPsychiatry Physician
036121068ILMDChild & 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.

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

Sources for this page

Verify at the official NPI Registry.