Brajendra Nath Misra, M.D.,M.S.,F.A.C.S

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D20069 Issued in MD

Practice address

7220 Hanover Pkwy
Suite a
Greenbelt, MD 20770-2004

Phone

(301) 220-0088

Fax

(301) 220-1005

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366513889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702004",
            "telephone_number": "301-220-0088",
            "fax_number": "301-220-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702004",
            "telephone_number": "301-220-0088",
            "fax_number": "301-220-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "BRAJENDRA",
        "middle_name": "NATH",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.S.,F.A.C.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D20069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "791491100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.