DR. CHARLES GEORGE JR. BRISENO (M.D.) – Hospitalist Physician, NPI 1639170715

DR. CHARLES GEORGE JR. BRISENO (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME80345 (FL). The NPI Number for DR. CHARLES GEORGE JR. BRISENO (M.D.) is 1639170715

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES GEORGE JR. BRISENO (M.D.)
NPI
1639170715
Phone
(239) 343-9100
Address
PO BOX 2147
Enumeration Date
10 August 2005
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2393439108
Graduation Year
1990 (36 years ago)
PAC ID
3173510815
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20040426001908
Address ID
FL339193245FO9131XCTXX400
Telehealth
Yes

Contacts

Secure Messaging
cbriseno421@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. CHARLES GEORGE JR. BRISENO (M.D.)

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-9100

    Fax: (239) 343-9108

    Type: Mailing

  • 9131 COLLEGE POINTE CT

    FORT MYERS, FL 33919

    Phone: (239) 432-0101

    Fax: (239) 432-9659

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040426001908IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes778458$0
J0897Injection, denosumab, 1 mg66011$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit307307$0
99213Established patient office or other outpatient visit, 20-29 minutes148137$0
90662Influenza vaccine split virus, preservative free104104$0
View full utilization report →

Insurance plans in this area (ZIP 33902)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335672146View full group profile
NameSpecialtyState
Neurology, Nephrology, PsychiatryFL
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Cardiovascular Disease (Cardiology)FL
Physician AssistantFL
Medical Genetics And GenomicsMI
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify DR. CHARLES GEORGE JR. BRISENO (M.D.) for billing?
Administrative and clinical systems typically use NPI 1639170715 for DR. CHARLES GEORGE JR. BRISENO (M.D.).
Does the public listing show DR. CHARLES GEORGE JR. BRISENO (M.D.) as active?
DR. CHARLES GEORGE JR. BRISENO (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. CHARLES GEORGE JR. BRISENO (M.D.) provide?
DR. CHARLES GEORGE JR. BRISENO (M.D.)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CHARLES GEORGE JR. BRISENO (M.D.)?
DR. CHARLES GEORGE JR. BRISENO (M.D.) shows a connection to Fort Myers, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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