Individual provider Active NPI

Brian J Winter, M.D.

  • Ophthalmology Physician
  • Columbia, MD
National Provider Identifier
1053349852
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0015937 Issued in MD
Practice address
880 Columbia 100 Parkway
Suite 101
Columbia, MD 21045
Phone
(410) 997-4498
NPI assigned
Jun 29, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0015937 MD Primary

Addresses

Primary practice location

880 Columbia 100 Parkway
Suite 101
Columbia, MD 21045

Mailing address

880 Columbia 100 Parkway
Suite 101
Columbia, MD 21045
Phone (410) 997-4498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041030000089 MD Practitioner - Ophthalmology 6406818699 Reassigns benefits to 1 organization
I20041030000108 DC Practitioner - Ophthalmology 6406818699 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0015937MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Eye Center PA Ophthalmology CurrentSince Nov 2, 2004 Accepting new patients
Medical Eye Center PA Ophthalmology CurrentSince Nov 2, 2004 Accepting new patients
University of Maryland Pediatric Associates, PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8860 Columbia 100 Pkwy
Ste 101
Columbia, MD 21045
Phone (410) 821-9490

3402 Olandwood Ct
Olney, MD 20832
Phone (301) 260-0966

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053349852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 COLUMBIA 100 PARKWAY",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-997-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 COLUMBIA 100 PARKWAY",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-997-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0015937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.