Charles Durwood Devine, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0072537 Issued in FL

Practice address

336 E Bloomingdale Ave
Brandon, FL 33511-8155

Phone

(813) 689-2466

Fax

(813) 689-0435

NPI assigned

Aug 26, 2005

Reactivated

Apr 12, 2006

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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Charles Devine, M.D., P.a.

  • Psychiatry Physician
  • Brandon, FL
  • NPI 1982905717
  Medicare reassignment NPD Authorized official
• CKMT Enterprises, LLC

  • Psychiatry Physician
  • Brandon, FL
  • NPI 1942729736
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881687663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118155",
            "telephone_number": "813-689-2466",
            "fax_number": "813-689-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118155",
            "telephone_number": "813-689-2466",
            "fax_number": "813-689-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "CHARLES",
        "middle_name": "DURWOOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0072537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "46240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietha Destin, LMFT
• Destiny Quality Care, LLC
• Rachel Lee Deurloo, BCABA
• Kristina Deveau
• Nicole M Devine-Horner, LMT
• Shelby Durrance Devinney, PA-C
• Jacquelyn Marie Devito, NP
• Ethan Deweerd, D.C
• Robert M Dewhurst, MD
• Parminder Dhaliwal, MD

• Psychiatry Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.