Organization Active NPI

Joseph D. Brandenburg Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cumberland, MD
National Provider Identifier
1336134238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
01-010 Issued in MD
Legal business name
JOSEPH D. BRANDENBURG CENTER
Practice address
10100 Country Club Road
Cumberland, MD 21501-1722
Phone
(301) 777-2264
Fax
(301) 777-2399
NPI assigned
Sep 16, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carolyn Kay Brown, M.B.A
Title
Director
Phone
(301) 777-2264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 01-010 MD Primary

Addresses

Primary practice location

10100 Country Club Road
Cumberland, MD 21501-1722

Mailing address

10100 Country Club Road
Cumberland, MD 21501-1722
Phone (301) 777-2264

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Athletics-College Park83 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

10100 Country Club Rd SE
Cumberland, MD 21502
Phone (301) 777-2258

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336134238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 COUNTRY CLUB ROAD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011722",
            "telephone_number": "301-777-2264",
            "fax_number": "301-777-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 COUNTRY CLUB ROAD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011722",
            "telephone_number": "301-777-2264",
            "fax_number": "301-777-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D. BRANDENBURG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-777-2264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MD",
            "license": "01-010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.