Provider Demographics
NPI:1427701994
Name:BRINKMAN, CHARLOTTE (NP)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:BRINKMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 E BISHOP DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-2544
Mailing Address - Country:US
Mailing Address - Phone:734-323-8880
Mailing Address - Fax:
Practice Address - Street 1:147 E MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4619
Practice Address - Country:US
Practice Address - Phone:828-884-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5015433207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine