# DR. CHARLES THOMAS BROWNRIDGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295753036
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G041073 | CA | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 07/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G410730 | — | CA |
| 01 | — | P00475991 | RAILROAD MEDICARE | — |