Active NPI
Brian W. Little, MD, PHD
- Anatomic Pathology & Clinical Pathology Physician
- Newark, DE
National Provider Identifier
1033221528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- C1-006110
- Practice address
- 4755 Ogletown Stanton Rd
Office of Academic Affairs & Research
Newark, DE 19718-0002 - Phone
- (302) 733-1042
- Fax
- (302) 733-1068
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 24, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C1-006110 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Office of Academic Affairs & Research
Newark, DE 19718-0002
Mailing address
4755 Ogletown-Stanton Road
Office of Academic Affairs & Research
Newark, DE 19718-0001
Phone (302) 733-1042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 5, 2016 through Feb 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-006110 | DE | MD | Anatomic Pathology & Clinical Pathology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Newark, DE
- NPI 1285764910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1033221528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN-STANTON ROAD",
"address_2": "OFFICE OF ACADEMIC AFFAIRS & RESEARCH",
"city": "NEWARK",
"state": "DE",
"postal_code": "197180001",
"telephone_number": "302-733-1042",
"fax_number": "302-733-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"address_2": "OFFICE OF ACADEMIC AFFAIRS & RESEARCH",
"city": "NEWARK",
"state": "DE",
"postal_code": "197180002",
"telephone_number": "302-733-1042",
"fax_number": "302-733-1068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "BRIAN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "DE",
"license": "C1-006110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.