Individual provider Active NPI

Charles Walter Debrosse, M.D.

  • Allergy & Immunology Physician
  • Dayton, OH
National Provider Identifier
1700043155
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35-089171 Issued in OH
Practice address
8039 Washington Village Dr, Suite 100
Dayton, OH 45458
Phone
(937) 435-8999
Fax
(937) 435-4211
NPI assigned
May 21, 2008
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35-089171 OH Primary
Pediatrics Physician 208000000X 35.089171 OH

Addresses

Primary practice location

8039 Washington Village Dr, Suite 100
Dayton, OH 45458

Mailing address

8039 Washington Village Dr, Suite 100, Dayton, Oh 45458
Dayton, OH 45458
Phone (937) 435-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090130000380 OH Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 2163586405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of Cincinnati College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Allergy Associates, Inc.Group PAC ID 7517864499, 4 clinicians

Practice addresses (Care Compare)

8039 Washington Village Dr
Suite 100
Centerville, OH 45458-1877
Phone (937) 435-8999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-089171OHMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Allergy Associates, Inc. Allergy & Immunology CurrentSince Oct 2, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3121 Evelyn Dr
Ste 100
Beavercreek, OH 45434
Phone (937) 320-1830

8039 Washington Village Dr
Ste 100
Dayton, OH 45458
Phone (937) 435-8999

8654 N Main St
Dayton, OH 45415
Phone (937) 435-8999

634 N Vandemark Rd
Sidney, OH 45365

634 N Vandemark Rd
#100
Sidney, OH 45365
Phone (937) 492-4600

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1700043155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 WASHINGTON VILLAGE DR, SUITE 100, DAYTON, OH 45458",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45458",
            "telephone_number": "937-435-8999",
            "fax_number": "937-435-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 WASHINGTON VILLAGE DR, SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45458",
            "telephone_number": "937-435-8999",
            "fax_number": "937-435-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROSSE",
        "first_name": "CHARLES",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35-089171",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.089171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.