Individual provider Active NPI

Penny L. Brown, M.D.

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1629005376
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G80290 Issued in MD
Practice address
419 W Redwood St
Suite 500
Baltimore, MD 21201-1734
Phone
(410) 328-6640
Fax
(410) 328-2648
NPI assigned
Jun 27, 2006
Last updated
Nov 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G80290 MD Primary

Addresses

Primary practice location

419 W Redwood St
Suite 500
Baltimore, MD 21201-1734

Mailing address

PO Box 64451
Baltimore, MD 21264-4451
Phone (410) 328-3343

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
I20101207000630 MD Practitioner - Obstetrics/Gynecology 2769679430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80290MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of MD Obstetrical and Gynecological Asso. PA Obstetrics & Gynecology CurrentSince Sep 1, 2000 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients

Locations

250 W Pratt St
Ste 880
Baltimore, MD 21201

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

Organizations & group practices 2

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1629005376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64451",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644451",
            "telephone_number": "410-328-3343",
            "fax_number": "410-328-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "SUITE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "410-328-6640",
            "fax_number": "410-328-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PENNY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "G80290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.