Active NPI
George Bren, M.D.
- Cardiovascular Disease Physician
- Washington, DC
National Provider Identifier
1013908276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0042707
- Practice address
- 2440 M St NW
Suite 804
Washington, DC 20037-1404 - Phone
- (202) 785-4966
- Fax
- (202) 728-0905
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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.
-
- Rural Acute Care Hospital
- La Plata, MD
- NPI 1992701825
-
- Clinical Medical Laboratory
- La Plata, MD
- NPI 1801461926
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Obstetrics & Gynecology Physician
- White Plains, MD
- NPI 1366644197
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0042707 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Civista Medical Center, Inc. | Past | Accepting new patients | |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Civista Medical Center Inc | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD12915 | DC | |
| Cardiovascular Disease Physician | 207RC0000X | D0042707 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2440 M St NW
Suite 804
Washington, DC 20037-1404
Mailing address
2440 M St NW
Suite 804
Washington, DC 20037-1404
Phone (202) 785-4966
Other practice location 1
7704 Matapeake Business Dr Ste 325
Brandywine, MD 20613-3047
Phone (301) 373-7900
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469811801 | Medicaid | MD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2021.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1013908276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 M ST NW",
"address_2": "SUITE 804",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371404",
"telephone_number": "202-785-4966",
"fax_number": "202-728-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 M ST NW",
"address_2": "SUITE 804",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371404",
"telephone_number": "202-785-4966",
"fax_number": "202-728-0905"
}
],
"practiceLocations": [
{
"address_1": "7704 Matapeake Business Dr Ste 325",
"address_purpose": "LOCATION",
"city": "Brandywine",
"state": "MD",
"postal_code": "206133047",
"country_code": "US",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREN",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "DC",
"license": "MD12915",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0042707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "469811801",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.