Charles Brown

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

120417 Issued in FL

Practice address

2145 Metrocenter Blvd Ste 350
Orlando, FL 32835-7642

Phone

(407) 218-4800

NPI assigned

May 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bridges International

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1144671280
  NPD (past)
• Bridges International Centers for Recovery and Reentry, Inc.

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1487172110

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1629568142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 SOUTHERN BREEZE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365011",
            "telephone_number": "407-810-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 METROCENTER BLVD STE 350",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357642",
            "telephone_number": "407-218-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "120417",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL CERTIFICATION AND RECIPROCITY CONTINUUM",
            "identifier": "120417",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION BOARD OF ADDICTIONS PROFESSIONALS",
            "identifier": "800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan David Brown, MD
• Candace Brown
• Candace Brown, LMFT
• Catherine Callaway Brown
• Chad Brown, LMHC
• Clarence H Brown III, MD
• Connor Martin Brown, PT,DPT,CSCS
• Daniel Philip Brown, D.O.
• Darreshia J Brown, CNA
• Dasha Brown, BS

• Addiction (Substance Use Disorder) Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.