Annapolis Nephrology Associates
Organization Active NPI Nephrology Physician · Annapolis, MD
NPI 1356982599 · NPPES record last updated Sep 30, 2019
Key facts
- NPI
- 1356982599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- ANNAPOLIS NEPHROLOGY ASSOCIATES
- Practice address
- 104 Forbes St Ste 102
Annapolis, MD 21401-1543 - Phone
- (410) 571-8333
- Fax
- (410) 571-8338
- NPI assigned
- Sep 30, 2019
- Organization subpart
- No
Authorized official
- Name
- Patricia Patterson, RN
- Title
- Office Manager
- Phone
- (410) 571-8333
Practitioners 1
-
Andrew E Briglia, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200123000134 | MD | Part B Supplier - Clinic/Group Practice | 4789918251 |
Receives reassigned benefits from 1 practitioner Practice locations: Annapolis, MD |
| O20200501000047 | DC | Part B Supplier - Clinic/Group Practice | 4789918251 |
Receives reassigned benefits from 1 practitioner Practice locations: Bowie, MD |
National Provider Directory
Locations
104 Forbes St
Ste 102
Annapolis, MD 21401
Phone (410) 571-8333
304 Harry S Truman Pkwy
#1730
Annapolis, MD 21401
4861 Tesla Dr
Ste H
Bowie, MD 20715
Phone (301) 809-5342
1105 Annapolis Rd
Odenton, MD 21113
Phone (410) 933-0820
1360 Blair Dr
Ste L
Odenton, MD 21113
Phone (410) 674-3918
Interoperability endpoints
- https://api.platform.athenahealth.com/8068/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
104 Forbes St Ste 102
Annapolis, MD 21401-1543
Mailing address
104 Forbes St Ste 102
Annapolis, MD 21401-1543
Phone (410) 571-8333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3220801100 | Medicaid | MD |
Other providers in Annapolis, MD
- Annapolis Infectious Disease Associates LLP
- Annapolis Internal Medicine, LLC
- Annapolis Life Care, Inc.
- Annapolis Lymphedema Center
- Annapolis Medical Specialists
- Annapolis OB/GYN Associates, P.a.
- Annapolis Optometry, LLC
- Annapolis Pain Management, LLC
- Annapolis Pediatric Dentistry
- Annapolis Pediatrics
All providers in Annapolis, MD · Nephrology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.