Active NPI
Joseph Osler Brice, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Pasadena, MD
National Provider Identifier
1235100116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 00969
- Practice address
- 3021 Mountain Rd Ste a
Pasadena, MD 21122-2015 - Phone
- (410) 437-9366
- Fax
- (410) 437-8107
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00969 | MD | |
| Foot Surgery Podiatrist | 213ES0131X | 00969 | MD | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 00969 | MD | Primary |
Addresses
Primary practice location
3021 Mountain Rd Ste a
Pasadena, MD 21122-2015
Mailing address
3021 Mountain Rd Ste a
Pasadena, MD 21122-2015
Phone (410) 437-9366
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69219 | Other | MD | PRINCIPAL HEALTH CARE -DE |
| KBQ4CO | Other | MD | BLUE CROSS BLUE SHIELD |
| 236264 | Other | MD | UNITED HEALTHCARE |
| 73174 | Other | MD | COVENTRY HEALTH CARE - DE |
| W219-0002 | Other | DC | BLUE CROSS BLUE SHIELD |
| 214881 | Other | MD | M.A.M.S.I. |
| 43521-8100 | Medicaid | MD | |
| 12565 | Other | MD | PRIORITY PARTNERS |
| W219-0002 | Other | DC | BLUE SHIELD FEP PROGRAM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00969 | MD | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1235100116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 MOUNTAIN RD STE A",
"city": "PASADENA",
"state": "MD",
"postal_code": "211222015",
"telephone_number": "410-437-9366",
"fax_number": "410-437-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 MOUNTAIN RD STE A",
"city": "PASADENA",
"state": "MD",
"postal_code": "211222015",
"telephone_number": "410-437-9366",
"fax_number": "410-437-8107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICE",
"first_name": "JOSEPH",
"middle_name": "OSLER",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "00969",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MD",
"license": "00969",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "MD",
"license": "00969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRINCIPAL HEALTH CARE -DE",
"identifier": "69219",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "KBQ4CO",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "236264",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE - DE",
"identifier": "73174",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W219-0002",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M.A.M.S.I.",
"identifier": "214881",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43521-8100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY PARTNERS",
"identifier": "12565",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD FEP PROGRAM",
"identifier": "W219-0002",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.