Organization Active NPI

Edward M. Eisenbrey,M.D.,P.a.

  • Pediatric Adolescent Medicine Physician
  • Waldorf, MD
National Provider Identifier
1679639256
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
D16180 Issued in MD
Legal business name
EDWARD M. EISENBREY,M.D.,P.A.
Practice address
3050 Crain Hwy
Suite 301 and 302
Waldorf, MD 20601-2824
Phone
(301) 843-5333
Fax
(301) 870-9988
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Edward Marston Eisenbrey, M.D.
Title
President
Phone
(301) 843-5333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X D0017291 MD
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X D16180 MD Primary

Addresses

Primary practice location

3050 Crain Hwy
Suite 301 and 302
Waldorf, MD 20601-2824

Mailing address

3050 Crain Hwy
Suite 301 and 302
Waldorf, MD 20601-2824
Phone (301) 843-5333

National Provider Directory

National Provider Directory

Locations

3050 Crain Hwy
Ste 301
Waldorf, MD 20601
Phone (301) 843-5317

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679639256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CRAIN HWY",
            "address_2": "SUITE 301 AND 302",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012824",
            "telephone_number": "301-843-5333",
            "fax_number": "301-870-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CRAIN HWY",
            "address_2": "SUITE 301 AND 302",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012824",
            "telephone_number": "301-843-5333",
            "fax_number": "301-870-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. EISENBREY,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EISENBREY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MARSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-843-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0017291",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D16180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.