Active NPI
Brian M Charity, DO
- Emergency Medicine Physician
- Clearwater, FL
National Provider Identifier
1790728699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS0008111
- Practice address
- 300 Pinellas St
Clearwater, FL 33756-3804 - Phone
- (727) 461-8537
- NPI assigned
- Jun 14, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS0008111 | FL | Primary |
Addresses
Primary practice location
300 Pinellas St
Clearwater, FL 33756-3804
Mailing address
PO Box 17308
Clearwater, FL 33762-0308
Phone (904) 482-1070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261907500 | Medicaid | FL | |
| 35875 | Other | FL | BLUE SHIELD OF FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0008111 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Pasco County Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Bay Area Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
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.
-
- Emergency Medicine Physician
- Clearwater, FL
- NPI 1164459095
-
- Emergency Medicine Physician
- New Port Richey, FL
- NPI 1568771707
-
- Emergency Medicine Physician
- Largo, FL
- NPI 1952640013
-
- Emergency Medicine Physician
- Clearwater, FL
- NPI 1720268733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1790728699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17308",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337620308",
"telephone_number": "904-482-1070",
"fax_number": "904-482-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PINELLAS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "727-461-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARITY",
"first_name": "BRIAN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS0008111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261907500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF FL",
"identifier": "35875",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.