Organization Active NPI

Brian C. de Muth, M.D., PA

  • Durable Medical Equipment & Medical Supplies
  • Havre de Grace, MD
National Provider Identifier
1164990529
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRIAN C. DE MUTH, M.D., PA
Doing business as
Chesapeake Sports & Orthopaedics
Practice address
251 Lewis LN Ste 103
Havre de Grace, MD 21078-3752
Phone
(410) 939-3400
Fax
(410) 939-6400
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Dr. Brian Charles De Muth, M.D.
Title
Owner
Phone
(410) 939-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

251 Lewis LN Ste 103
Havre de Grace, MD 21078-3752

Mailing address

210 Chesapeake Blvd
Elkton, MD 21921-6395
Phone (410) 398-3868

Other names 1

  • Chesapeake Sports & Orthopaedics Doing business as

National Provider Directory

National Provider Directory

Locations

251 Lewis Ln
Ste 103
Hvre de Grace, MD 21078
Phone (410) 939-3400

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1164990529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHESAPEAKE BLVD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216395",
            "telephone_number": "410-398-3868",
            "fax_number": "410-620-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LEWIS LN STE 103",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783752",
            "telephone_number": "410-939-3400",
            "fax_number": "410-939-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C. DE MUTH, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "DE MUTH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-939-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Sports & Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.