Individual provider Active NPI

Edwin Pimentel-Brugal, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1407006992
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0074631 Issued in MD
Practice address
404 Eastern Blvd # 406
Baltimore, MD 21221-6714
Phone
(410) 687-3924
NPI assigned
Sep 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0074631 MD Primary

Addresses

Primary practice location

404 Eastern Blvd # 406
Baltimore, MD 21221-6714

Mailing address

PO Box 1278
Hunt Valley, MD 21030-6278
Phone (443) 330-4004

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
I20121128000326 MD Practitioner - Internal Medicine 1850446493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health MD LLCGroup PAC ID 1850685629, 2 clinicians

Practice addresses (Care Compare)

12 Irondale St
Suite 120
Middle River, MD 21220-2172
Phone (410) 687-3924

Hospital & facility affiliations

  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081
  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health MD LLC Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11560 Crossroads Cir
Ste 106
Middle River, MD 21220

12 Irondale St
Ste 120
Middle River, MD 21220
Phone (410) 687-3924

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1407006992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210306278",
            "telephone_number": "443-330-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 EASTERN BLVD # 406",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212216714",
            "telephone_number": "410-687-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL-BRUGAL",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0074631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.