CHARLES R BRENT (MD) – Specialist, NPI 1063513141

CHARLES R BRENT (MD) is a healthcare provider. based in Hattiesburg, Mississippi. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 9082 (MS). The NPI Number for CHARLES R BRENT (MD) is 1063513141

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES R BRENT (MD)
NPI
1063513141
Phone
(601) 475-2430
Address
1212 SOUTH 28TH AVE
Enumeration Date
25 September 2006
Last Update Date
28 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6014752430
Graduation Year
1980 (46 years ago)
PAC ID
5193782340
Group Practice PAC ID
3870870652
Professional Enrollment ID
I20041220000363
Address ID
MS394022603HA1212XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

64 NEUROSURGERY in MS

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Provider Addresses for CHARLES R BRENT (MD)

  • 1212, South 28th Avenue, Innswood, Hattiesburg, Forrest County, Mississippi, 39402, United States

    HATTIESBURG, MS 39402

    Phone: (601) 475-2430

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-03-27 • Largest payer in this snapshot: IRRAS USA, Inc. ($36).

Total Amount

$36

General + Research + Ownership

Payments

1

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
IRRAS USA, Inc.$36
View all Open Payments →|Open Payments Risk Radar →

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: 2004-12-20

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
I20041220000363INeurosurgeryMSTBD

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 minutes127104$0
99213Established patient office or other outpatient visit, 20-29 minutes8061$0
99204New patient office or other outpatient visit, 45-59 minutes7070$0
22551Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc2424$0
20931Graft of donor bone to spine2323$0
View full utilization report →

Insurance plans in this area (ZIP 39402)

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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: 3870870652View full group profile
NameSpecialtyState
Nurse PractitionerMS

Reviews

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Frequently asked questions

Does CHARLES R BRENT (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHARLES R BRENT (MD) uses 1063513141.
Is CHARLES R BRENT (MD) listed as active for patients and plans?
The listing shows CHARLES R BRENT (MD) as active in the NPI system.
What healthcare role does CHARLES R BRENT (MD) hold?
Scheduling teams often label CHARLES R BRENT (MD) under Other Service Providers. Clinical services aligned with this taxonomy classification.
What address line appears for CHARLES R BRENT (MD)?
CHARLES R BRENT (MD)'s geographic hint is Hattiesburg, Mississippi in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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