Active NPI
Brian Joseph Monroe, CPO
- Prosthetist
- Washington, DC
National Provider Identifier
1508971680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 1705
- Practice address
- 730 24TH St NW Ste 5
Washington, DC 20037-2543 - Phone
- (202) 338-0770
- Fax
- (202) 315-3176
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 1705 | Primary |
Addresses
Primary practice location
730 24TH St NW Ste 5
Washington, DC 20037-2543
Mailing address
730 24TH St NW Ste 5
Washington, DC 20037-2543
Phone (202) 338-0770
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010232775 | Medicaid | VA | |
| 1030109 | Other | DC | ACM |
| 4417 | Other | DC | CAREFIRST BCBS |
| 409782300 | Medicaid | MD | |
| 037399700 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1508971680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 24TH ST NW STE 5",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372543",
"telephone_number": "202-338-0770",
"fax_number": "202-315-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 24TH ST NW STE 5",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372543",
"telephone_number": "202-338-0770",
"fax_number": "202-315-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": "1705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010232775",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACM",
"identifier": "1030109",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "4417",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409782300",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037399700",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.