| Dr Charles Miller Brown Sr, MD | |
|
1500 E Shotwell St, Bainbridge, GA 39819-4256 | |
| (229) 425-4903 | |
| Not Available |
| Full Name | Dr Charles Miller Brown Sr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 1500 E Shotwell St, Bainbridge, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437417359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD2019-0133 (New Mexico) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 77094 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital And Manor | Bainbridge, GA | Hospital |
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Union General Hospital | Blairsville, GA | Hospital |
| Habersham County Medical Ctr | Demorest, GA | Hospital |
| Upson Regional Medical Center | Thomaston, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Radiology Associates Llc | 0042389231 | 34 |
| Entity Name | South Georgia Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
| Entity Name | Department Of Behavioral Health And Developmental Disabilities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Miller Brown Sr, MD 7505 Waters Ave Ste F10, Savannah, GA 31406-3822 Ph: (229) 425-4903 | Dr Charles Miller Brown Sr, MD 1500 E Shotwell St, Bainbridge, GA 39819-4256 Ph: (229) 425-4903 |