Maryland Brain Spine & Pain LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

MARYLAND BRAIN SPINE & PAIN LLC

Practice address

130 Love Point Rd Ste 105
Stevensville, MD 21666-2132

Phone

(410) 266-2720

Fax

(410) 224-0209

NPI assigned

Nov 11, 2009

Last updated

Nov 29, 2018By 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

Brian J Sullivan, MDNPI 1013915883

Title

President/Physician

Phone

(410) 266-2720

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian J Sullivan, MD

  • Neurological Surgery Physician
  • Annapolis, MD
  • NPI 1013915883
  Authorized official Same address or phone

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1427385590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BESTGATE RD STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013371",
            "telephone_number": "410-266-2720",
            "fax_number": "410-224-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LOVE POINT RD STE 105",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662132",
            "telephone_number": "410-266-2720",
            "fax_number": "410-224-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND BRAIN SPINE & PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "410-266-2720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441139100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Manley, PSYD
• Muhammed Manna, PHARMD
• Margaret C. McGrath, DMD, MPH, PC (Kent Island Pediatric Dentistry)
• Mariangela Weiskopf, LLC
• Casey Martin
• Maryland Family Care, Inc.
• Maryland Imaging Network PC
• Amanda H McCabe, DPT
• Margaret Crouse McGrath, DMD
• Liam Andrew McMullen

• Neurological Surgery Physician in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Neurological Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.