Individual provider Active NPI

Charles Richard Brown, PA-C

  • Medical Physician Assistant
  • Baltimore, MD
National Provider Identifier
1487803003
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PENDING Issued in MD
Practice address
900 Caton Ave # 230
Baltimore, MD 21229-5201
Phone
(410) 368-8902
Fax
(410) 368-3534
NPI assigned
Sep 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PENDING MD Primary

Addresses

Primary practice location

900 Caton Ave # 230
Baltimore, MD 21229-5201

Mailing address

900 Caton Ave # 230
Baltimore, MD 21229-5201
Phone (410) 368-8902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220812002710 DE Practitioner - Physician Assistant 5193878973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panzer Dermatology AssociatesGroup PAC ID 6103724745, 24 clinicians

Practice addresses (Care Compare)

537 Stanton Christiana Rd
Newark, DE 19713-2148
Phone 3026337550229

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
69.25
Promoting interoperability
100
Improvement activities
40
Cost
45.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PENDINGMDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Provo-I Medical Services, PC Past Accepting new patients
Caton Emergency Physicians Past Accepting new patients
Delaware Center for Digestive Care LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rbrown@directaddress.net

Organizations & group practices 4

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1487803003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CATON AVE # 230",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-8902",
            "fax_number": "410-368-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE # 230",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-8902",
            "fax_number": "410-368-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.