Brent C. Birely, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

D0036028 Issued in MD

Practice address

1300 York Rd
Building a, Suite 100
Lutherville, MD 21093-6016

Phone

(410) 828-9570

Fax

(410) 583-9120

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Plastic and Reconstructive Surgery

Education

University of Maryland School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brent C. Birely, M.D., P.a.

  • Plastic and Reconstructive Surgery Physician
  • Lutherville, MD
  • NPI 1982635074
  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1679501316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD",
            "address_2": "BUILDING A, SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "410-828-9570",
            "fax_number": "410-583-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD",
            "address_2": "BUILDING A, SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "410-828-9570",
            "fax_number": "410-583-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRELY",
        "first_name": "BRENT",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0036028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "E681 0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3208 240007648",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica A Bernstein-Newton, LMT, BCTMB
• Sofie Louise Besser, DPT, ATC
• Kaelyn Rose Betterton, LMSW
• Shantinique Betty
• Nakul Bhardwaj, DO, MPH
• Cathy Harris Blackwell, COTA
• Blair Pharmacy Inc. (Blair Pharmacy)
• Robyn Blake-Manning, PMHNP-BC
• Karin J Blakemore, M.D.
• Melissa J. Blank, MPT

• Plastic and Reconstructive Surgery Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Plastic and Reconstructive Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.