NPIMap

Individual provider Active NPI

Jay Bronder, M.D.

  • Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1023404613
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D88091 Issued in MD
Practice address
1201 Seven Locks Rd Ste 101
Rockville, MD 20854-2957
Phone
(301) 562-7200
NPI assigned
Apr 9, 2015
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X D88091 MD Primary

Addresses

Primary practice location

1201 Seven Locks Rd Ste 101
Rockville, MD 20854-2957

Mailing address

8555 16TH St Ste 310
Silver Spring, MD 20910-2802
Phone (301) 562-7200

Other practice location 1

6201 Greenleigh Ave Fl 2
Middle River, MD 21220-2004
Phone (410) 933-6421

Other practice location 2

22 S Greene St Rm N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

Other identifiers 1

IdentifierTypeStateIssuer
D88091OtherMDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210419000346 DC Practitioner - Neurology 9638477086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
JC Edwards School of Medicine, Marshall University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurology CenterGroup PAC ID 9739162942, 28 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1201 Seven Locks Rd
Suite 101
Rockville, MD 20854-2957
Phone (301) 562-7200

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as individual
Quality
84.03
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurology Center CurrentSince May 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5454 Wisconsin Ave
Ste 1720
Chevy Chase, MD 20815

1201 Seven Locks Rd
Ste 101
Rockville, MD 20854
Phone (301) 562-7202

8555 16th St
Ste 310
Silver Spring, MD 20910
Phone (301) 563-7198

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23649/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jay.bronder.1@23649.direct.athenahealth.com
  • Direct secure messaging: jbronder452201@direct.hopkinsmedicine.org

Organizations & group practices 3

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 7

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1023404613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 16TH ST STE 310",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102802",
            "telephone_number": "301-562-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542957",
            "telephone_number": "301-562-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Greenleigh Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Middle River",
            "state": "MD",
            "postal_code": "212202004",
            "country_code": "US",
            "telephone_number": "410-933-6421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St Rm N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRONDER",
        "first_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D88091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D88091",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.