NPIMap

Organization Active NPI

Geriatric Assoc Brook

  • Geriatric Medicine (Family Medicine) Physician
  • Sandy Spring, MD
National Provider Identifier
1376796169
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
062M Issued in MD
Legal business name
GERIATRIC ASSOC BROOK
Practice address
18100 Slade School Rd
Sandy Spring, MD 20860-1313
Phone
(301) 924-2811
Fax
(301) 924-1200
NPI assigned
Oct 24, 2008
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKE GROVE FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Mr. Dennis Karl Hunter
Title
Vice President
Phone
(301) 924-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 062M MD Primary

Addresses

Primary practice location

18100 Slade School Rd
Sandy Spring, MD 20860-1313

Mailing address

18100 Slade School Rd
Sandy Spring, MD 20860-1313
Phone (301) 924-2811

National Provider Directory

National Provider Directory
Part of
Brooke Grove Foundation Inc

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1376796169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 SLADE SCHOOL RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601313",
            "telephone_number": "301-924-2811",
            "fax_number": "301-924-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 SLADE SCHOOL RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601313",
            "telephone_number": "301-924-2811",
            "fax_number": "301-924-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC ASSOC BROOK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKE GROVE FOUNDATION",
        "enumeration_date": "2008-10-24",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-924-2811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "062M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.