Individual provider Active NPI

George Bren, M.D.

  • Cardiovascular Disease Physician
  • Washington, DC
National Provider Identifier
1013908276
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0042707 Issued in MD
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.

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

LicenseStateTypeSpecialty
D0042707MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD12915 DC
Cardiovascular Disease Physician 207RC0000X D0042707 MD Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
469811801MedicaidMD

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.

Verify at the official NPI Registry.