Brian E Mondell, MD LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

D0032496 Issued in MD

Legal business name

BRIAN E MONDELL, MD LLC

Practice address

14 S Broadway
Baltimore, MD 21231-1712

Phone

(410) 276-1773

Fax

(410) 276-2056

NPI assigned

Aug 11, 2010

Last updated

Oct 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian E Mondell, MD

Title

Director

Phone

(410) 321-4558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1427363795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 OLD COURT RD",
            "address_2": "SUITE 405",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083422",
            "telephone_number": "410-321-4558",
            "fax_number": "410-494-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311712",
            "telephone_number": "410-276-1773",
            "fax_number": "410-276-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN E MONDELL, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "MONDELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-321-4558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MD",
            "license": "D0032496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.