Individual provider Active NPI

Richard Arthur O'Brien, MD

  • Neurology Physician
  • Columbia, MD
National Provider Identifier
1316929938
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0054157 Issued in MD
Practice address
10420 Little Patuxent Pkwy
Suite 250
Columbia, MD 21044-3533
Phone
(410) 740-5186
Fax
(410) 741-2371
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0054157 MD Primary

Addresses

Primary practice location

10420 Little Patuxent Pkwy
Suite 250
Columbia, MD 21044-3533

Mailing address

10420 Little Patuxent Pkwy
Suite 250
Columbia, MD 21044-3533
Phone (410) 740-5186

Other identifiers 1

IdentifierTypeStateIssuer
003517300MedicaidMD

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0054157MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvasive Clinical Services Monitoring, Inc. Neurology Past Accepting new patients
Keystone Neuromonitoring Associates PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1316929938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443533",
            "telephone_number": "410-740-5186",
            "fax_number": "410-741-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443533",
            "telephone_number": "410-740-5186",
            "fax_number": "410-741-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "RICHARD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0054157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003517300",
            "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 Sep 8, 2008; 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.