Individual provider Active NPI

Brigilda Cocos Teneza, M.D.

  • Pediatrics Physician
  • Silver Spring, MD
National Provider Identifier
1457334245
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-10660 Issued in HI
Practice address
503 Robert Grant Ave
Silver Spring, MD 20910-7500
Phone
(301) 319-9184
NPI assigned
Nov 25, 2005
Last updated
Aug 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-10660 HI Primary

Addresses

Primary practice location

503 Robert Grant Ave
Silver Spring, MD 20910-7500

Mailing address

503 Robert Grant Ave
Silver Spring, MD 20910-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214001930 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric MedicinePractitioner - Preventive Medicine 7911208079

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1457334245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 ROBERT GRANT AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209107500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 ROBERT GRANT AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209107500",
            "telephone_number": "301-319-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENEZA",
        "first_name": "BRIGILDA",
        "middle_name": "COCOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-10660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.