Active NPI
Brian Michael Siegel, M.D.
- Psychiatry Physician
- Pikesville, MD
National Provider Identifier
1679796726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 307185
- Practice address
- 1010 Windsor Rd
Pikesville, MD 21208-4762 - Phone
- (410) 484-6484
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 2084D0003X | D30195 | MD | |
| Psychiatry Physician | 2084P0800X | 307185 | LA | Primary |
Addresses
Primary practice location
1010 Windsor Rd
Pikesville, MD 21208-4762
Mailing address
205 E Joppa Rd
Suite 103
Towson, MD 21286-3260
Phone (410) 296-3448
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D30195 | MD | MD | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian M. Siegel, M.D. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Child & Adolescent Psychiatry Physician
- Towson, MD
- NPI 1902924780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1679796726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E JOPPA RD",
"address_2": "SUITE 103",
"city": "TOWSON",
"state": "MD",
"postal_code": "212863260",
"telephone_number": "410-296-3448",
"fax_number": "410-296-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 WINDSOR RD",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084762",
"telephone_number": "410-484-6484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084D0003X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
"state": "MD",
"license": "D30195",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "307185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.