Individual
DR. CHARLES THOMAS BROWNRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 L ST STE 260, SACRAMENTO, CA 95816-5616
(916) 733-9556
(916) 454-6869
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G041073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G410730
—
CA
01
—
P00475991
RAILROAD MEDICARE
—
Enumeration date
07/18/2006
Last updated
07/22/2015
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