Active NPI
Charles Calvin Brown, M.D.
- Pain Medicine Physician
- Chesapeake, VA
National Provider Identifier
1740283191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 0101234662
- Practice address
- 1403 Greenbrier Pkwy
Ste 401
Chesapeake, VA 23320-0407 - Phone
- (757) 965-4018
- Fax
- (757) 965-4268
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 0101234662 | VA | Primary |
Addresses
Primary practice location
1403 Greenbrier Pkwy
Ste 401
Chesapeake, VA 23320-0407
Mailing address
411 Inlet Dr
Elizabeth City, NC 27909-3231
Phone (252) 338-3858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071207000656 | NY | Practitioner - Anesthesiology | 9335195155 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of New York Downstate Medical Center, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singular Anesthesia Services PLLC
Practice addresses (Care Compare)
55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101234662 | VA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronx Anesthesia Services, PC | Current | Accepting new patients | |
| Singular Anesthesia Services, PLLC | Current | Accepting new patients | |
| Quarry Road Emergency Services P.C. | Past | Accepting new patients |
Locations
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
Interoperability endpoints
- cbrown18780@sbhny.direct-ci.net
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1134238199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740283191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 INLET DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093231",
"telephone_number": "252-338-3858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 GREENBRIER PKWY",
"address_2": "STE 401",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200407",
"telephone_number": "757-965-4018",
"fax_number": "757-965-4268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CHARLES",
"middle_name": "CALVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "VA",
"license": "0101234662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.