Active NPI
Brenden Mellon
- Rehabilitation Practitioner
- Upper Marlboro, MD
National Provider Identifier
1730069899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1116 Ring Bill Loop
Upper Marlboro, MD 20774-7166 - Phone
- (301) 395-0433
- NPI assigned
- Sep 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
1116 Ring Bill Loop
Upper Marlboro, MD 20774-7166
Mailing address
1116 Ring Bill Loop
Upper Marlboro, MD 20774-7166
Phone (301) 395-0433
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1730069899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 RING BILL LOOP",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747166",
"telephone_number": "301-395-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 RING BILL LOOP",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747166",
"telephone_number": "301-395-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLON",
"first_name": "BRENDEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.