Individual
CHARLES WILLIAM BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 523-8521
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16130
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64161300
—
KY
01
—
C15173
CUMBERLAND HEALTHCARE, IN
KY
01
—
P01458485
RR MEDICARE
KY
Enumeration date
02/26/2007
Last updated
05/10/2026
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