Organization Active NPI

CHP MD Medical Affiliates, LLC

  • General Practice Physician
  • Owings Mills, MD
National Provider Identifier
1326930306
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHP MD MEDICAL AFFILIATES, LLC
Practice address
7920 McDonogh Rd Ste 101
Owings Mills, MD 21117-5249
Phone
(410) 356-9939
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Dr. Brian L Crenshaw, MDNPI 1639464290
Title
Owner
Phone
(410) 356-9939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

7920 McDonogh Rd Ste 101
Owings Mills, MD 21117-5249

Mailing address

7041 Brier Creek CT
Lakewood Ranch, FL 34202-4215
Phone (941) 400-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260303004355 MD Part B Supplier - Clinic/Group Practice 7810479433 Receives reassigned benefits from 3 practitioners
Practice locations: Lutherville, MD; Nottingham, MD; Owings Mills, MD

National Provider Directory

National Provider Directory
Tax ID family
CHP MD Medical Affiliates LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8007 Corporate Dr
Ste F
Nottingham, MD 21236
Phone (410) 657-5770

7920 McDonogh Rd
Ste 101
Owings Mills, MD 21117
Phone (410) 356-9939

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1326930306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 BRIER CREEK CT",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024215",
            "telephone_number": "941-400-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MCDONOGH RD STE 101",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175249",
            "telephone_number": "410-356-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHP MD MEDICAL AFFILIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-356-9939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.