Active NPI
Mary Pratt Brandenburg, L.AC.
- Acupuncturist
- Columbia, MD
National Provider Identifier
1235258583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U00196
- Practice address
- 5570 Sterrett PL
Suite 308
Columbia, MD 21044-2641 - Phone
- (410) 997-7040
- Fax
- (410) 997-7041
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U00196 | MD | Primary |
Addresses
Primary practice location
5570 Sterrett PL
Suite 308
Columbia, MD 21044-2641
Mailing address
5570 Sterrett PL
Suite 308
Columbia, MD 21044-2641
Phone (410) 997-7040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412684-02 | Other | MD | CAREFIRST NON-PAR # |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U00196 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1235258583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5570 STERRETT PL",
"address_2": "SUITE 308",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442641",
"telephone_number": "410-997-7040",
"fax_number": "410-997-7041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5570 STERRETT PL",
"address_2": "SUITE 308",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442641",
"telephone_number": "410-997-7040",
"fax_number": "410-997-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDENBURG",
"first_name": "MARY",
"middle_name": "PRATT",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U00196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST NON-PAR #",
"identifier": "412684-02",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.