Individual provider Active NPI

Brooks Gideon Brown III, MD

  • Ophthalmology Physician
  • Chevy Chase, MD
National Provider Identifier
1376679043
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0015744 Issued in MD
Practice address
5454 Wisconsin Ave Ste 1420
Chevy Chase, MD 20815-6961
Phone
(301) 654-0767
Fax
(301) 654-0769
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0015744 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 1420
Chevy Chase, MD 20815-6961

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (410) 571-8733

Other identifiers 1

IdentifierTypeStateIssuer
005411900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101012000759 DC Practitioner - Ophthalmology 9537351945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.62 of 100Reported as group
Quality
82.27
Promoting interoperability
100
Improvement activities
40
Cost
63.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0015744MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Alan Goodglick, MD, PC Ophthalmology CurrentSince Oct 6, 2025 Accepting new patients
Laservue, LLC Ophthalmology CurrentSince Oct 6, 2025 Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1209
Chevy Chase, MD 20815
Phone (202) 744-2885

Interoperability endpoints

  • Direct secure messaging: bbrown@vip.emadirect.md

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1376679043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD STE 1030",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017131",
            "telephone_number": "410-571-8733",
            "fax_number": "410-571-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1420",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156961",
            "telephone_number": "301-654-0767",
            "fax_number": "301-654-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BROOKS",
        "middle_name": "GIDEON",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0015744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005411900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.