Maryland Brain Spine & Pain Llc
LBN: Maryland Brain Spine & Pain Llc
Maryland Brain Spine & Pain Llc is an health care organization with primary practice located at 4201 Northview Dr Ste 101 , Bowie MD 20716-2644. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty.
Maryland Brain Spine & Pain Llc can be contacted via phone (410) 266-2720, or through Sullivan, Brian J via phone (410) 266-2720.
Contact Information
Primary practice address
4201 Northview Dr Ste 101
Bowie MD 20716-2644
Phone: (410) 266-2720
Fax: (410) 224-0209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X |
Profile Details
| NPI number | 1043288376 |
|---|---|
| LBN Legal business name | Maryland Brain Spine & Pain Llc |
| DBA Doing business as | |
| Authorized official | Sullivan, Brian J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Nov 29th, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043288376 | NPPES |
| District of Columbia | Other | D380 | BCBS |
| District of Columbia | MEDICAID | 404557200 | BCBS |
| District of Columbia | MEDICAID | 404557201 | BCBS |
| District of Columbia | Other | 003QMA | BCBS |
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