Individual provider Active NPI

Brendan James Tamm, MD

  • Ophthalmology Physician
  • Rochester, MI
National Provider Identifier
1760945075
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0097029 Issued in MD
Practice address
1101 W University Dr
Rochester, MI 48307-1863
Phone
(248) 652-5000
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0097029 MD Primary

Addresses

Primary practice location

1101 W University Dr
Rochester, MI 48307-1863

Mailing address

419 W Redwood St Ste 470
Baltimore, MD 21201-7009
Phone (166) 721-4119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230601001123 MD Practitioner - Ophthalmology 3476910704 Reassigns benefits to 1 organization
I20240808003247 DC Practitioner - Ophthalmology 3476910704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1800 Town Ctr Dr
Suite 317
Reston, VA 20190-3239
Phone (703) 356-6880

6845 Elm St
Suite 611
MC Lean, VA 22101-3843
Phone (703) 437-3900

7617 Little River Tpke
Suite 400
Annandale, VA 22003-2603
Phone (703) 712-7825

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Cardiology Associates, LLC Current Accepting new patients
University of Maryland Eye Associates, P.a. Ophthalmology CurrentSince Jul 10, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 24, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 24, 2024 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Jul 10, 2023 Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

419 W Redwood St
Ste 470
Baltimore, MD 21201
Phone (667) 214-1197

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

7617 Little River Tpke
Ste 400
Annandale, VA 22003
Phone (703) 712-7825

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

6845 Elm St
Ste 611
McLean, VA 22101
Phone (703) 239-5874

1800 Town Center Dr
Ste 317
Reston, VA 20190
Phone (703) 356-6880

Interoperability endpoints

  • Direct secure messaging: brendan.tamm.1@8042.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1760945075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 470",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017009",
            "telephone_number": "166-721-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-652-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMM",
        "first_name": "BRENDAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0097029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.