Individual provider Active NPI

Brieanna Brienee Bivens, MD

  • Hospitalist Physician
  • Newark, DE
National Provider Identifier
1013413541
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
89195 Issued in GA
Practice address
4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200
Phone
(302) 623-0188
Fax
(302) 733-5640
NPI assigned
Apr 3, 2018
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X D0100368 MD
Hospitalist Physician 208M00000X C1-0027117 DE
Hospitalist Physician 208M00000X 89195 GA Primary
Internal Medicine Physician 207R00000X C1-0027117 DE
Internal Medicine Physician 207R00000X D0100368 MD

Addresses

Primary practice location

4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200

Mailing address

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615

Other practice location 1

920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone (901) 448-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DE, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210825001937 GA Practitioner - Internal Medicine 4284039595 Reassigns benefits to 2 organizations
I20241008002404 DE Practitioner - Internal MedicinePractitioner - Hospitalist 4284039595 Reassigns benefits to 1 organization
I20241011001494 MD Practitioner - Internal Medicine 4284039595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.57 of 100Reported as group
Quality
59.34
Promoting interoperability
89
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0027117DEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Regional Physicians Management Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Union Hospital of Cecil County Internal Medicine CurrentSince Sep 30, 2024 Accepting new patients
Covenant Medical Group LLC CurrentSince Feb 1, 2023 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Sep 25, 2024 Accepting new patients
Union Hospital of Cecil County, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 25, 2024 Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Prime Healthcare Foundation - Southern Regional, LLC Past Accepting new patients
Union Hospital of Cecil County Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

207 North St
Ste A
Elkton, MD 21921

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1013413541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 5A43",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-623-0188",
            "fax_number": "302-733-5640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Madison Ave Ste 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033438",
            "country_code": "US",
            "telephone_number": "901-448-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIVENS",
        "first_name": "BRIEANNA",
        "middle_name": "BRIENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0100368",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DE",
            "license": "C1-0027117",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "89195",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0027117",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0100368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.