Individual provider Active NPI

Brian E Mondell, M.D.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Baltimore, MD
National Provider Identifier
1407869217
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
D0032496 Issued in MD
Practice address
724 Light St Ste a
Baltimore, MD 21230-3813
Phone
(443) 869-5461
Fax
(443) 869-5642
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0032496 MD
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X D0032496 MD Primary

Addresses

Primary practice location

724 Light St Ste a
Baltimore, MD 21230-3813

Mailing address

724 Light St Ste a
Baltimore, MD 21230-3813
Phone (443) 869-5641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Federal Hill Medical Center CurrentSince Jul 28, 2024 Accepting new patients

Locations

724 Light St
Ste A
Baltimore, MD 21230
Phone (304) 813-8332

Organizations & group practices 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1407869217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 LIGHT ST STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303813",
            "telephone_number": "443-869-5641",
            "fax_number": "443-869-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 LIGHT ST STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303813",
            "telephone_number": "443-869-5461",
            "fax_number": "443-869-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDELL",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0032496",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MD",
            "license": "D0032496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.