Individual provider Active NPI

Brian Samuel Kressin, DPM

  • Podiatrist
  • Burtonsville, MD
National Provider Identifier
1427065382
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00889 Issued in MD
Practice address
15300 Spencerville CT
Suite 101
Burtonsville, MD 20866
Phone
(301) 384-2629
Fax
(301) 421-4286
NPI assigned
Aug 2, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00889 MD Primary

Addresses

Primary practice location

15300 Spencerville CT
Suite 101
Burtonsville, MD 20866

Mailing address

15300 Spencerville CT
Suite 101
Burtonsville, MD 20866
Phone (301) 384-2629

Other names 1

  • Dr. Brian Samuel Kressin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050126000647 MD Practitioner - Podiatry 7911957089 Practice locations: Burtonsville, MD
I20080729000314 DC Practitioner - Podiatry 7911957089 Reassigns benefits to 1 organization
Practice locations: Burtonsville, MD

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00889MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jun 15, 2020 Accepting new patients
Professional Management Services, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

12 Penns Trl
Ste 154
Newtown, PA 18940
Phone (215) 675-3005

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1427065382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 SPENCERVILLE CT",
            "address_2": "SUITE 101",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "20866",
            "telephone_number": "301-384-2629",
            "fax_number": "301-421-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 SPENCERVILLE CT",
            "address_2": "SUITE 101",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "20866",
            "telephone_number": "301-384-2629",
            "fax_number": "301-421-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESSIN",
        "first_name": "BRIAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "KRESSIN",
            "middle_name": "SAMUEL",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burtonsville, MD

Sources for this page

Verify at the official NPI Registry.