NPIMap

Organization Active NPI

Precisionbrainmd,LLC

  • Medical Specialty Clinic/Center
  • Baltimore, MD
National Provider Identifier
1306455936
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PRECISIONBRAINMD,LLC
Practice address
516 N Rolling Rd Ste 203
Baltimore, MD 21228-4187
Phone
(443) 916-2708
Fax
(410) 788-1577
NPI assigned
Jul 29, 2020
Last updated
Aug 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Ms. Esther Coker, PROVIDER RELATIONS
Title
Provider Relations Manager
Phone
(301) 423-4551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

516 N Rolling Rd Ste 203
Baltimore, MD 21228-4187

Mailing address

2924 Guilford Ave
Baltimore, MD 21218-4115
Phone (301) 423-4551

Other practice location 1

4333 Old Branch Ave Ste C
Temple Hills, MD 20748-1848
Phone (301) 423-4551

National Provider Directory

National Provider Directory

Locations

516 N Rolling Rd
Ste 203
Catonsville, MD 21228
Phone (410) 788-1540

4333 Old Branch Ave
Ste C
Temple Hills, MD 20748
Phone (301) 423-4551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1306455936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 GUILFORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184115",
            "telephone_number": "301-423-4551",
            "fax_number": "301-899-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284187",
            "telephone_number": "443-916-2708",
            "fax_number": "410-788-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4333 Old Branch Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207481848",
            "country_code": "US",
            "telephone_number": "301-423-4551",
            "fax_number": "301-899-5153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISIONBRAINMD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PROVIDER RELATIONS MANAGER",
        "authorized_official_telephone_number": "301-423-4551",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PROVIDER RELATIONS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.