Active NPI
Aaron Brockshus, MD
- Allergy & Immunology Physician
- Bethesda, MD
National Provider Identifier
1649791815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 31379
- Practice address
- 4594 N Palmer Rd
Bethesda, MD 20889-4613 - Phone
- (301) 295-4510
- Fax
- (301) 319-8299
- NPI assigned
- Jun 28, 2017
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 31379 | NE | Primary |
Addresses
Primary practice location
4594 N Palmer Rd
Bethesda, MD 20889-4613
Mailing address
4594 N Palmer Rd Walter Reed Allergy and Immunology
Bethesda, MD 20889-0001
Phone (301) 295-4510
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31379 | NE | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1649791815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4594 N PALMER RD WALTER REED ALLERGY AND IMMUNOLOGY",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-4510",
"fax_number": "301-319-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4594 N PALMER RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208894613",
"telephone_number": "301-295-4510",
"fax_number": "301-319-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKSHUS",
"first_name": "AARON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NE",
"license": "31379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.