Individual provider Active NPI

Charles W Brian, MD

  • Emergency Medicine Physician
  • Evansville, IN
National Provider Identifier
1346344975
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.073088 Issued in OH
Practice address
600 Mary St
Evansville, IN 47747-0001
Phone
(812) 450-3405
Fax
(812) 450-3099
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Louisville School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Health, Inc. 69 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7100

Hospital & facility affiliations

  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, TX3 enrollments
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.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20051129000859 IN Practitioner - Emergency Medicine 3779560214 Reassigns benefits to 5 organizations
I20091110000324 KY Practitioner - Emergency Medicine 3779560214 Reassigns benefits to 1 organization
I20161209000084 TX Practitioner - Emergency Medicine 3779560214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Methodist Health, Inc. Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 25, 2022 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Mid West Hospital Physicians, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 25, 2022 Accepting new patients
Methodist Health, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients
St. Mary'S Health Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3832 Solutions Ctr
Chicago, IL 60677

1600 23rd St
Bedford, IN 47421
Phone (812) 275-3331

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

473 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0004

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01050225A IN
Emergency Medicine Physician 207P00000X 35.073088 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

600 Mary St
Evansville, IN 47747-0001

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-6815

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
200244470MedicaidIN
000000380169OtherINBCBS - GATEWAY
000000378775OtherINBCBS - MARY STREET
64112824MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2022.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1346344975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477470001",
            "telephone_number": "812-450-3405",
            "fax_number": "812-450-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIAN",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01050225A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.073088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200244470",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GATEWAY",
            "identifier": "000000380169",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MARY STREET",
            "identifier": "000000378775",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64112824",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.