Brian C. de Muth M.D., PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D50790 Issued in MD

Legal business name

BRIAN C. DE MUTH M.D., PA

Doing business as

Chesapeake Sports & Orthopaedics

Practice address

251 Lewis LN
Suite103
Havre de Grace, MD 21078-3751

Phone

(410) 939-3400

Fax

(410) 939-6400

NPI assigned

Jan 25, 2007

Organization subpart

No

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.NPI 1740369578

Title

Physician

Phone

(410) 939-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chesapeake Sports & Orthopaedics Doing business as

Medicare fee-for-service enrollment

Enrolled in MD, PA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Charles De Muth, M.D.

  • Orthopaedic Surgery Physician
  • Elkton, MD
  • NPI 1740369578

  PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1235284415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LEWIS LN",
            "address_2": "SUITE 103",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783751",
            "telephone_number": "410-939-3400",
            "fax_number": "410-939-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LEWIS LN",
            "address_2": "SUITE103",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783751",
            "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": "2007-01-25",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "DE MUTH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-939-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D50790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522110201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Sports & Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sakeena Jentae Bowman, COTA/L
• Debbie L Boyd, CRNP
• Kelly Bragg, LCPC
• John S Braxton III, P.A.
• Brenda Jaffe, LCSW-C, LLC
• Brian C. de Muth, M.D., PA
• Jessica Tierra Bridges
• Bright Minds Therapy, LLC
• Nicole Jasmyn Bright, DO
• Robin Brown, NP

• Orthopaedic Surgery Physician in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.