Active NPI
Bethany Brown, D.O.
- Pediatrics Physician
- Owings Mills, MD
National Provider Identifier
1003203126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- H0085213
- Practice address
- 9 Park Center CT Ste 150
Owings Mills, MD 21117 - Phone
- (410) 902-7710
- Fax
- (410) 902-4410
- NPI assigned
- Apr 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H0085213 | MD | Primary |
Addresses
Primary practice location
9 Park Center CT Ste 150
Owings Mills, MD 21117
Mailing address
9 Park Center CT Ste 150
Owings Mills, MD 21117-5623
Phone (410) 902-7710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0085213 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- bbrown@valleypeds.opdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1003203126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PARK CENTER CT STE 150",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175623",
"telephone_number": "410-902-7710",
"fax_number": "410-902-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 PARK CENTER CT STE 150",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "21117",
"telephone_number": "410-902-7710",
"fax_number": "410-902-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "BETHANY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-16",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MD",
"license": "H0085213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.