NPIMap

Organization Active NPI

Frederick County Health Department

  • Community/Behavioral Health Agency
  • Frederick, MD
National Provider Identifier
1104046259
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6280 Issued in MD
Legal business name
FREDERICK COUNTY HEALTH DEPARTMENT
Practice address
350 Montevue LN
Frederick, MD 21702-8214
Phone
(301) 600-1029
Fax
(301) 600-3111
NPI assigned
Apr 30, 2007
Organization subpart
Yes
Parent organization
DEPARTMENT OF HEALTH AND MENTAL HYGIENEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Barbara Ann Brookmyer, MD, MPH
Title
Health Officer
Phone
(301) 600-2509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6280 MD Primary

Addresses

Primary practice location

350 Montevue LN
Frederick, MD 21702-8214

Mailing address

350 Montevue LN
Frederick, MD 21702-8214
Phone (301) 600-1029

Other identifiers 1

IdentifierTypeStateIssuer
422252100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000213 MD Part B Supplier - Clinic/Group Practice 4183720956 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Frederick, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Howard County Health de

Locations

350 Montevue Ln
Frederick, MD 21702
Phone (301) 600-3102

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1104046259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MONTEVUE LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028214",
            "telephone_number": "301-600-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MONTEVUE LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028214",
            "telephone_number": "301-600-1029",
            "fax_number": "301-600-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF HEALTH AND MENTAL HYGIENE",
        "enumeration_date": "2007-04-30",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "BROOKMYER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "301-600-2509",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "6280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422252100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.