Charles B Brimmer, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. His current practice location is
1130 W. Michigan Street, Fesler Hall 204, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 274-0076.
Charles B Brimmer is licensed to practice in Indiana (license number 11022760A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124778550.
Physician's Profile
Full Name | Charles B Brimmer |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1130 W. Michigan Street, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124778550
- Provider Enumeration Date: 03/28/2022
- Last Update Date: 10/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355797192
- Enrollment ID: I20231030003430
Medical Identifiers
Medical identifiers for Charles B Brimmer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124778550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | R3803 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 11022760A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles B Brimmer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charles B Brimmer, DO 1130 West Michigan Street, Fesler Hall 204, Indianapolis, IN 46202-5209 Ph: (317) 274-0076 | Charles B Brimmer, DO 1130 W. Michigan Street, Fesler Hall 204, Indianapolis, IN 46202-5209 Ph: (317) 274-0076 |
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