Individual provider Active NPI

Marcia Bennette Lobrano, M.D.

  • Emergency Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1174569495
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0053661 Issued in MD
Practice address
8630 Fenton St
Suite 1200
Silver Spring, MD 20910-3806
Phone
(240) 499-2615
Fax
(240) 499-2602
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0053661 MD Primary
Emergency Medicine Physician 207P00000X 0101232039 VA

Addresses

Primary practice location

8630 Fenton St
Suite 1200
Silver Spring, MD 20910-3806

Mailing address

8630 Fenton St
Suite 1204
Silver Spring, MD 20910-3806
Phone (240) 499-2615

Other identifiers 1

IdentifierTypeStateIssuer
341500700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053661MDMDEmergency Medicine Physician
0101232039VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medlantic Healthcare Group Emergency Medicine Past Accepting new patients
Contee Emergency Physicians Emergency Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1174569495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "SUITE 1204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "240-499-2615",
            "fax_number": "240-499-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "SUITE 1200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "240-499-2615",
            "fax_number": "240-499-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBRANO",
        "first_name": "MARCIA",
        "middle_name": "BENNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0053661",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101232039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341500700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.