Individual provider Active NPI

Brenda Maureen Weber, MD

  • Ophthalmology Physician
  • Ellicott City, MD
National Provider Identifier
1497958540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0028113 Issued in MD
Practice address
9125 Dunloggin Road
Ellicott City, MD 21042-5248
Phone
(410) 461-0832
Fax
(410) 461-0832
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0028113 MD Primary

Addresses

Primary practice location

9125 Dunloggin Road
Ellicott City, MD 21042-5248

Mailing address

9125 Dunloggin Road
Ellicott City, MD 21042-5248
Phone (410) 461-0832

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
I20160225001245 MD Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 0749585909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0028113MDMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497958540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 DUNLOGGIN ROAD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425248",
            "telephone_number": "410-461-0832",
            "fax_number": "410-461-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 DUNLOGGIN ROAD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425248",
            "telephone_number": "410-461-0832",
            "fax_number": "410-461-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "BRENDA",
        "middle_name": "MAUREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0028113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.