DR. CHARLES JACOB BROWN PH.D NPI 1285648170

NPI Information

NPI: 1285648170
Provider Name: DR. CHARLES JACOB BROWN, PH.D
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
726 EAST BLVD
CHARLOTTE, NC
ZIP 28203
Phone: (704) 376-8494
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DR. Charles Jacob Brown, PH.D is a specialist in Charlotte, NC with 43 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Charles Jacob Brown, PH.D NPI is 1285648170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

726 EAST BLVD
CHARLOTTE, NC
ZIP 28203-114
Phone: (704) 376-8494

The NPI 1285648170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 10/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		1981	NORTH CAROLINA	Yes
2	103T00000X	Psychologist		PP1981	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	123456	OTHER	MARYLAND	NOT APPLICABLE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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