Individual provider Active NPI

Brian Keith Dragan, DCM

  • Chiropractor
  • Glen Burnie, MD
National Provider Identifier
1376544304
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01433 Issued in MD
Practice address
7575 Ritchie Hwy
Glen Burnie, MD 21061-8951
Phone
(410) 766-1444
Fax
(410) 768-5703
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01433 MD Primary

Addresses

Primary practice location

7575 Ritchie Hwy
Glen Burnie, MD 21061-8951

Mailing address

502 Forest View Rd
Linthicum Heights, MD 21090-2818
Phone (410) 766-1444

Other identifiers 1

IdentifierTypeStateIssuer
52167002OtherMDBSMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000191 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8224173570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
National College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7575 Ritchie Hwy
Glen Burnie, MD 21061-3716
Phone (410) 766-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian K. Dragan, D.C. Chiropractor CurrentSince Jul 21, 2012 Accepting new patients
Arundel Medical Group Inc Chiropractor CurrentSince Apr 1, 1997 Accepting new patients

Locations

7575 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 766-1444

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1376544304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 FOREST VIEW RD",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902818",
            "telephone_number": "410-766-1444",
            "fax_number": "410-768-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210618951",
            "telephone_number": "410-766-1444",
            "fax_number": "410-768-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGAN",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "52167002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.