PRECISIONBRAINMD,LLC (NPI# 1306455936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306455936 |
| Entity Type | Organization |
| Organization Name | PRECISIONBRAINMD,LLC |
| Practice Address |
516 N Rolling Rd Ste 203 Baltimore MD 21228-4187 |
| Mailing Address |
2924 Guilford Ave Baltimore MD 21218-4115 |
| Practice Telephone | 4439162708 |
| Practice Fax Number | 4107881577 |
| Mailing Telephone | 3014234551 |
| Mailing Fax Number | 3018995153 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | MS. ESTHER COKER (PROVIDER RELATIONS MANAGER) |
| Authorized Official Telephone | 3014234551 |
| Authorized Official Credential | PROVIDER RELATIO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4333 Old Branch Ave Ste C, Temple Hills, MD 207481848 | 3014234551 | 3018995153 |
| Street Address |
516 N ROLLING RD STE 203 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228-4187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215576079 | Alexander Heilner | Clinic/Center | 614 Hollen Rd, Baltimore, MD 21212-2715 | 2019-12-27 |
| 1184288003 | Mjd Chiropractic LLC | Clinic/Center | 6666 Security Blvd Ste 4, Baltimore, MD 21207-4025 | 2019-04-25 |
| 1417430117 | Emily Clarke-pearson, Md, PC | Clinic/Center | 949 Fell St Ste B, Baltimore, MD 21231-3505 | 2018-09-10 |
| 1124564703 | Fall Prevention and Stroke Rehab Physician, LLC | Clinic/Center | 2701 Jeremy Ct Apt E, Baltimore, MD 21209-3062 | 2017-01-06 |
| 1871786087 | Crm Dermatology, L.L.C. | Clinic/Center | 2 Village Square, The Village of Cross Keys, Suite # 260, Baltimore, MD 21210-1935 | 2007-08-21 |
| 1972931376 | University Psychological Center, Inc. | Clinic/Center | 201 N Charles St, Suite 200, Baltimore, MD 21201-4102 | 2013-10-22 |
| 1891098919 | Mark P Diamond Md Pa | Clinic/Center | 9105 Franklin Square Dr, Suite 308, Baltimore, MD 21237-3930 | 2010-12-11 |
| 1962721159 | Chandrasekharan Nair, M.d., P.a. | Clinic/Center | 5601 Loch Raven Blvd, Suite 100, Proff Off. Bldg., Baltimore, MD 21239-2905 | 2010-05-27 |
| 1376868174 | Reginald O Crosley Md Pa | Clinic/Center | 1235 E Monument St, Baltimore, MD 21202-5327 | 2010-04-05 |
| 1912002320 | University of Maryland Pediatrics Assoc Pa | Clinic/Center | 22 South Greene Street, Baltimore, MD 21201 | 2006-09-13 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.