NPIMap

Organization Active NPI

Laurel Diagnostic Imaging, DRS. Branda & Greyson, PA

  • Diagnostic Radiology Physician
  • Laurel, MD
National Provider Identifier
1427181783
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LAUREL DIAGNOSTIC IMAGING, DRS. BRANDA & GREYSON, PA
Practice address
9811 Mallard Dr Ste 102
Laurel, MD 20708-3180
Phone
(301) 776-4777
Fax
(301) 776-2914
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Joseph F Branda, MD
Title
President
Phone
(301) 776-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

9811 Mallard Dr Ste 102
Laurel, MD 20708-3180

Mailing address

9811 Mallard Dr Ste 102
Laurel, MD 20708-3180
Phone (301) 776-4777

Other identifiers 1

IdentifierTypeStateIssuer
976001600MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1427181783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083180",
            "telephone_number": "301-776-4777",
            "fax_number": "301-776-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083180",
            "telephone_number": "301-776-4777",
            "fax_number": "301-776-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL DIAGNOSTIC IMAGING, DRS. BRANDA & GREYSON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "BRANDA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-776-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "976001600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.