Active NPI
Marilee B Brigg, PA
- Physician Assistant
- Baltimore, MD
National Provider Identifier
1639338148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 9000 Franklin Square Dr
Baltimore, MD 21237-3901 - Phone
- (443) 777-7068
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Mailing address
PO Box 7206
Philadelphia, PA 19101-7206
Phone (800) 355-0808
Other names 1
- Marilee B Goldberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Emergency Physicians LLC | Physician Assistant | Current | Accepting new patients |
| Medlantic Healthcare Group | Past | Accepting new patients |
Locations
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Elkton, MD
- NPI 1871375899
Physician Assistant
-
- Emergency Medicine Physician
- Newark, DE
- NPI 1639956451
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1467408450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1639338148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7206",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191017206",
"telephone_number": "800-355-0808",
"fax_number": "610-934-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373901",
"telephone_number": "443-777-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGG",
"first_name": "MARILEE",
"middle_name": "B",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARILEE",
"last_name": "GOLDBERG",
"middle_name": "B",
"code": "1",
"type": "Former 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 May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.