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CHARLES BRENDEN CROUGHAN
NPI 1811574429
Student in an Organized Health Care Education/Training Program in Miamisburg, OH

Active since March 28, 2021PECOS Enrolled
2115 LEITER RD, MIAMISBURG, OH 45342(937) 384-6800 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Brenden Croughan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES BRENDEN CROUGHAN (NPI 1811574429) is an individual student in an organized health care education/training program in Miamisburg, Ohio and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811574429
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES BRENDEN CROUGHAN
Location Address2115 LEITER RDMiamisburg, OH 45342-3600
Mailing Address2115 Leiter RdMiamisburg, OH 45342-3600 · (937) 384-6800
Phone(937) 384-6800
Sole ProprietorNo
Enumeration DateMarch 28, 2021
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1811574429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License TLL-2024-001 (GU)
2115 LEITER RD, Miamisburg, OH 45342
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Brenden Croughan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDY A SANSONE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6850
ALLIANCE PHYSICIAN INC
Surgery
2115 LEITER RD, SUITE 100
MIAMISBURG, OH 45342
Montgomery County (937) 384-6922
INTERNAL MEDICINE ASSOCIATES, INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
MR. ROBERT C PEACH LPCC
Counselor (Professional)
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6901
SYCAMORE PRIMARY CARE GROUP
Internal Medicine
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6842
DR. JENNA KELSEY BURTON DO
Student in an Organized Health Care Education/Training Program
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
PRITHVI JAMI
Student in an Organized Health Care Education/Training Program
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
SULAGNA DAS MD
Student in an Organized Health Care Education/Training Program
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Croughan's NPI number?

The NPI number for Charles Croughan is 1811574429. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Charles Croughan located?

Charles Croughan practices at 2115 Leiter Rd, Miamisburg, OH 45342. The listed phone number is (937) 384-6800.

What is Charles Croughan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charles Croughan enrolled in Medicare?

Yes. Charles Croughan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Croughan was last updated on January 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.