NPIMap

Individual provider Active NPI

Charles Richard Brown, D.O.

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1821176470
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OSO12819 Issued in PA
Practice address
9401 McKnight Rd
Suite 107
Pittsburgh, PA 15237-6000
Phone
(412) 366-1528
Fax
(412) 366-1529
NPI assigned
Nov 1, 2006
Last updated
Oct 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OSO12819 PA Primary

Addresses

Primary practice location

9401 McKnight Rd
Suite 107
Pittsburgh, PA 15237-6000

Mailing address

1012 Water St
Meadville, PA 16335-3468
Phone (412) 823-4510

Other identifiers 7

IdentifierTypeStateIssuer
1695761OtherPABLUE CROSS
410863MedicaidPA
1012679570001MedicaidPA
1546540OtherPAGATEWAY
00167046OtherPAUNISON
3729607OtherPAAETNA
251309256OtherPADEVON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411000643 PA Practitioner - Family Practice 2668419755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerville Clinics, Inc.Group PAC ID 7214837202, 44 clinicians

Practice addresses (Care Compare)

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801

1070 Old National Pike Rd
Fredericktown, PA 15333-2114
Phone (724) 632-6801

1152 Wood St
California Clinic
California, PA 15419-1260
Phone (724) 938-2122

200 Chamber PLZ
Charleroi, PA 15022-1605
Phone (724) 483-5482

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OSO12819PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc CurrentSince Aug 1, 2017 Accepting new patients
Centerville Clinics, Inc. Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients

Locations

200 Chamber Plz
Charleroi, PA 15022
Phone (724) 483-5482

1070 Old National Pike
Fredericktown, PA 15333

Interoperability endpoints

  • Direct secure messaging: charles.brown.1@33484.direct.athenahealth.com

Organizations & group practices 6

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 10

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1821176470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 WATER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353468",
            "telephone_number": "412-823-4510",
            "fax_number": "412-823-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 MCKNIGHT RD",
            "address_2": "SUITE 107",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376000",
            "telephone_number": "412-366-1528",
            "fax_number": "412-366-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OSO12819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1695761",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410863",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012679570001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1546540",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "00167046",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3729607",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "251309256",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.