Individual provider Active NPI

Alice Margaret Brazier, C.R.N.P.

  • Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1760449250
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R067343 Issued in MD
Practice address
8800 Walther Blvd
Parkville, MD 21234-9001
Phone
(410) 882-3240
Fax
(410) 661-5093
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R067343 MD Primary

Addresses

Primary practice location

8800 Walther Blvd
Parkville, MD 21234-9001

Mailing address

8800 Walther Blvd
Parkville, MD 21234-9001
Phone (410) 882-3240

Other identifiers 9

IdentifierTypeStateIssuer
522096682OtherTRICARE NORTH
616059-05OtherMDBCBS
9676-0007OtherCAREFIRST BCBS OF DC
093NSE-616059-05OtherCAREFIRST BCBS OF MD
0943ER-616059-06OtherCAREFIRST BCBS OF MD
0047OtherCAREFIRST BCBS
093NER616059-05OtherCAREFIRST BCBS OF MD
382950200MedicaidMD
83-03373OtherEVERCARE

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R067343MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Maryland PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1760449250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 WALTHER BLVD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349001",
            "telephone_number": "410-882-3240",
            "fax_number": "410-661-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 WALTHER BLVD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349001",
            "telephone_number": "410-882-3240",
            "fax_number": "410-661-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIER",
        "first_name": "ALICE",
        "middle_name": "MARGARET",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R067343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH",
            "identifier": "522096682",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "616059-05",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF DC",
            "identifier": "9676-0007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "093NSE-616059-05",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "0943ER-616059-06",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "093NER616059-05",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382950200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "83-03373",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.