Charles Richard Brewer, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

125 Maple Row Blvd Ste 100
Hendersonville, TN 37075-3909

Phone

(615) 991-3158

Fax

(615) 667-6568

NPI assigned

Feb 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Optimum Men'S Health PLLC

  • Family Medicine Physician
  • Hendersonville, TN
  • NPI 1306327887
  NPD (past)

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1700386604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370770555",
            "telephone_number": "615-864-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAPLE ROW BLVD STE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753909",
            "telephone_number": "615-991-3158",
            "fax_number": "615-667-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon G Hodge, DDS
• Victoria Branham
• Brett Cameron Branson, M.D.
• Jason Kyle Breakfield, PHARM. D
• Emi Brehm
• Joshua E Brewington
• Siera Bridges
• Tancy Bridges, RN, MSN, NPC
• Ashley Brigeman
• Karen Tabitha Briggs, M.D.

• Medical Physician Assistant in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.