Individual provider Active NPI

Breindel Plonka, RDN, LDN, CDE, CNSC

  • Registered Dietitian
  • Baltimore, MD
National Provider Identifier
1497208979
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX3833 Issued in MD
Practice address
1001 Pine Heights Ave Ste 202
Baltimore, MD 21229-5284
Phone
(410) 500-8488
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX3833 MD Primary

Addresses

Primary practice location

1001 Pine Heights Ave Ste 202
Baltimore, MD 21229-5284

Mailing address

6105 Western Run Dr
Baltimore, MD 21209-3816
Phone (410) 500-8488

Other practice location 1

6105 Western Run Dr
Baltimore, MD 21209-3816
Phone (410) 500-8488

Other names 1

  • Brendel Rosskamm Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916000051 MD Practitioner - Registered Dietitian Or Nutrition Professional 4587049283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Brendel Plonka RDN, LLCGroup PAC ID 5496130197, 2 clinicians

Practice addresses (Care Compare)

1001 Pine Heights Ave
Suite 202
Baltimore, MD 21229-5284
Phone (410) 500-8488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX3833MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Brendel Plonka RDN, LLC CurrentSince Aug 3, 2022 Accepting new patients

Locations

1001 Pine Heights Ave
Ste 202
Baltimore, MD 21229
Phone (410) 500-8488

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1497208979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 WESTERN RUN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093816",
            "telephone_number": "410-500-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295284",
            "telephone_number": "410-500-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6105 Western Run Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212093816",
            "country_code": "US",
            "telephone_number": "410-500-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLONKA",
        "first_name": "BREINDEL",
        "credential": "RDN, LDN, CDE, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDEL",
            "last_name": "ROSSKAMM",
            "credential": "RDN, LDN, CDE, CNSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.