Provider Demographics
NPI:1205003340
Name:BRIGGS, CHARLES CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:CHRISTIAN
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 11TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2831
Mailing Address - Country:US
Mailing Address - Phone:202-543-1383
Mailing Address - Fax:
Practice Address - Street 1:1015 UNIVERSITY BLVD EAST
Practice Address - Street 2:SPANISH CATHOLIC CENTER MEDICAL CLINIC
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903
Practice Address - Country:US
Practice Address - Phone:301-434-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD67050207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine