Stanley Brull, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0002515 Issued in MD

Practice address

1 Village SQ
Suite #190
Baltimore, MD 21210-1602

Phone

(410) 435-8881

Fax

(410) 435-8886

NPI assigned

Jul 19, 2005

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment NPD
• Specialized Eye Care, PA

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1528342656
  Medicare reassignment NPD
• Sinai Hospital of Baltimore Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1437174059

  Ophthalmology

  NPD
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  NPD

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1700885068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE SQ",
            "address_2": "STE 190",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101605",
            "telephone_number": "410-821-6400",
            "fax_number": "410-296-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE SQ",
            "address_2": "SUITE #190",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101602",
            "telephone_number": "410-435-8881",
            "fax_number": "410-435-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRULL",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0002515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brudno
• Paula Andrea de Jesus Bruges Silvera, MD
• Ann Brugh, PSY.D.
• Kelly Brukiewa, PTA
• Richard A Brull, DC
• Miranda Leigh Brulla, M.S
• Robert J Brumback, MD
• John Crowther Brummer, DDS
• Susan Brundage, MD
• Kieran Aileen Brune, MBBS

• Ophthalmology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.