Individual
DR. CHARLES JOHN BREX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 VETERANS MEMORIAL PKWY, BLDG 4, EAST PROVIDENCE, RI 02914-5300
(401) 435-3400
(401) 435-3586
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD05092
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003528
BLUE CHIP
RI
01
—
007057448
MEDICARE
RI
01
—
04-00513
UNITED HEALTH CARE
RI
01
—
050483739
GREAT-WEST HEALTH CARE
RI
01
—
110195915
RAILROAD MEDICARE
RI
01
—
12010315
MULTIPLAN
RI
01
—
2028069
HEALTH CARE VALUE MGT
RI
01
—
2477-0
BCBS OF RI
RI
01
—
404463
TUFTS HEALTH PLAN
RI
01
—
60785
HARVARD HEALTH PLAN
RI
05
—
7003045
—
RI
01
—
709004046
MEDICARE GROUP
RI
01
—
710041001
CIGNA
RI
Enumeration date
09/12/2005
Last updated
03/03/2011
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