Active NPI
ASC Development Company, LLC
- Ambulatory Surgical Clinic/Center
- Rockville, MD
National Provider Identifier
1609996149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ASC DEVELOPMENT COMPANY, LLC
- Practice address
- 11921 Rockville Pike
Suite 505
Rockville, MD 20852-2737 - Phone
- (301) 881-7246
- Fax
- (301) 881-2449
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard J Brouillette, DO
- Title
- Regional Medical Director
- Phone
- (301) 881-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
11921 Rockville Pike
Suite 505
Rockville, MD 20852-2737
Mailing address
11350 McCormick Rd Ste 501
Hunt Valley, MD 21031-1002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00081013 | Other | MD | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
301 Hospital Dr
Ste 304
Glen Burnie, MD 21061
Phone 4102657300201
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Rockville, MD
- NPI 1285630921
-
- Interventional Pain Medicine Physician
- Owings Mills, MD
- NPI 1609872266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682294400000",
"number": "1609996149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD STE 501",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311002",
"fax_number": "301-881-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11921 ROCKVILLE PIKE",
"address_2": "SUITE 505",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522737",
"telephone_number": "301-881-7246",
"fax_number": "301-881-2449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASC DEVELOPMENT COMPANY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A",
"authorized_official_last_name": "BROUILLETTE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "REGIONAL MEDICAL DIRECTOR",
"authorized_official_telephone_number": "301-881-7246",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00081013",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.