Active NPI
Doriska Nelson Brown, MD
- Psychiatry Physician
- Gaithersburg, MD
National Provider Identifier
1174644587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0033779
- Practice address
- 610 E Diamond Ave
Suite 100a
Gaithersburg, MD 20877-5321 - Phone
- (301) 840-3200
- Fax
- (301) 840-1348
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0033779 | MD | Primary |
Addresses
Primary practice location
610 E Diamond Ave
Suite 100a
Gaithersburg, MD 20877-5321
Mailing address
610 E Diamond Ave
Suite 100a
Gaithersburg, MD 20877-5321
Phone (301) 840-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816700100 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0033779 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advent Christian Health Associates | Psychiatry | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1174644587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E DIAMOND AVE",
"address_2": "SUITE 100A",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208775321",
"telephone_number": "301-840-3200",
"fax_number": "301-840-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E DIAMOND AVE",
"address_2": "SUITE 100A",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208775321",
"telephone_number": "301-840-3200",
"fax_number": "301-840-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DORISKA",
"middle_name": "NELSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0033779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "816700100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.