Organization Active NPI

Metropolitan Neurosurgery Group Associates, LLC

  • Neurological Surgery Physician
  • Upper Marlboro, MD
National Provider Identifier
1477892545
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D0044416 Issued in MD
Legal business name
METROPOLITAN NEUROSURGERY GROUP ASSOCIATES, LLC
Practice address
1401 Mercantile LN Ste 341
Upper Marlboro, MD 20774-4331
Phone
(301) 557-9049
Fax
(301) 654-9394
NPI assigned
Feb 8, 2013
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Dr. Fraser C Henderson, MDNPI 1063404788
Title
President
Phone
(301) 654-9390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X D0044416 MD Primary

Addresses

Primary practice location

1401 Mercantile LN Ste 341
Upper Marlboro, MD 20774-4331

Mailing address

8116 Good Luck Rd
Suite 205
Lanham, MD 20706-3502
Phone (301) 654-9390

Other identifiers 1

IdentifierTypeStateIssuer
1043320252OtherMDNPI

National Provider Directory

National Provider Directory

Locations

1401 Mercantile Ln
Ste 341
Upper Marlboro, MD 20774

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1477892545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD",
            "address_2": "SUITE 205",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063502",
            "telephone_number": "301-654-9390",
            "fax_number": "301-654-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN STE 341",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744331",
            "telephone_number": "301-557-9049",
            "fax_number": "301-654-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN NEUROSURGERY GROUP ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "FRASER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-654-9390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0044416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043320252",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.