Active NPI
Edward M. Eisenbrey,M.D.,P.a.
- Pediatric Adolescent Medicine Physician
- Waldorf, MD
National Provider Identifier
1679639256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- D16180
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | D0017291 | MD | |
| Pediatric Adolescent Medicine Physician | 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 DirectoryLocations
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.