Charles Devine, M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0072537 Issued in FL

Legal business name

CHARLES DEVINE, M.D., P.A.

Practice address

336 E Bloomingdale Ave
Brandon, FL 33511-8155

Phone

(813) 689-2466

Fax

(813) 689-0435

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charles Devine, M.D.NPI 1881687663

Title

President

Phone

(813) 689-2466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Durwood Devine, M.D.

  • Psychiatry Physician
  • Brandon, FL
  • NPI 1881687663
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1982905717",
    "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": {
        "organization_name": "CHARLES DEVINE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-689-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0072537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lee Fitzgerald Champion
• Melissa Chandler, M.A., C.C.C.
• Ethan Chang
• Michael Chanthalangsy, DDS
• Christina Chanthanivong, DO
• Charles Lawrence Allen, Inc.
• Jonathan Charles, MD
• Joseph Charles
• Julia Kinsley Chase
• Chasing Behavior Modification Corp

• 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 May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.