Brian Cebulak, OTR

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05163 Issued in MD

Practice address

1801 Wentworth Rd
Parkville, MD 21234-6128

Phone

(410) 428-5506

NPI assigned

May 1, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376764787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 ORBITAN CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WENTWORTH RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346128",
            "telephone_number": "410-428-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBULAK",
        "first_name": "BRIAN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "05163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Eugene Carlisle, LCPC
• Arielle Carman, CRNP
• Kimberly Carroll, LCSW-C
• Sarah B Castro
• Catherine Cawley, MS CCC-SLP
• Vasilia Irene Ceribelli, PA-C
• Joyce Lenora Chance, SCGNA/HOME HEALTH
• Sung Jin Chang, DMD
• Charm City Brains LLC
• Chatford Manor Behavioral and Residential Services

• Skilled Nursing Facility in Parkville, MD
• Providers in Parkville, MD by specialty
• Skilled Nursing Facility 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.