NPIMap

Individual provider Active NPI

Charles Alfred Brown, D.O.

  • Psychiatry Physician
  • Akron, OH
National Provider Identifier
1831333004
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34.010480 Issued in OH
Practice address
388 S Main St
Akron, OH 44311-1064
Phone
(330) 543-8590
Fax
(330) 543-3856
NPI assigned
Apr 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34.010480 OH Primary

Addresses

Primary practice location

388 S Main St
Akron, OH 44311-1064

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-8590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130304000387 OH Practitioner - Psychiatry 2365697083 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.010480OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Jul 12, 2014 Accepting new patients
Akron Children'S Hospital Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Jul 12, 2014 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jan 9, 2013 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jan 9, 2013 Accepting new patients
Children'S Hospital Medical Center of Akron Past Accepting new patients

Locations

388 S Main St
Akron, OH 44311
Phone (330) 543-8260

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

1756 Sagamore Rd
Northfield, OH 44067
Phone (330) 467-7131

Interoperability endpoints

  • Direct secure messaging: cbrown32767@direct.chmca.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1831333004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-8590",
            "fax_number": "330-543-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 S MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111064",
            "telephone_number": "330-543-8590",
            "fax_number": "330-543-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHARLES",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34.010480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.