Individual provider Active NPI

Eric L. Weisbrot, M.D.

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1285626044
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0021487 Issued in MD
Practice address
1021 N Calvert St
Baltimore, MD 21202-3823
Phone
(410) 637-8255
Fax
(410) 637-8277
NPI assigned
Aug 18, 2005
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0021487 MD Primary

Addresses

Primary practice location

1021 N Calvert St
Baltimore, MD 21202-3823

Mailing address

1021 N Calvert St
Baltimore, MD 21202-3823
Phone (410) 637-8255

Other identifiers 1

IdentifierTypeStateIssuer
332600400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000608 MD Practitioner - Family Practice 7517155682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York Downstate Medical Center, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1021 N Calvert St
Baltimore, MD 21202-3823
Phone (410) 637-8255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eric L. Weisbrot, M.D., P.a. CurrentSince May 1, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1021 N Calvert St
Baltimore, MD 21202
Phone (410) 637-8255

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1285626044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023823",
            "telephone_number": "410-637-8255",
            "fax_number": "410-637-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023823",
            "telephone_number": "410-637-8255",
            "fax_number": "410-637-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROT",
        "first_name": "ERIC",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0021487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332600400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.