Individual provider Active NPI

Brian M. Tabor, CRNA

  • Certified Registered Nurse Anesthetist
  • Salisbury, MD
National Provider Identifier
1770823924
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R182389 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 543-7375
Fax
(954) 851-1746
NPI assigned
Feb 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R182389 MD Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817-5846
Phone (301) 263-0800

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130614000577 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729227129 Reassigns benefits to 3 organizations
I20160628000085 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729227129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Calvert Anesthesiology Services LLC 62 clinicians

Practice addresses (Care Compare)

345 Saint Paul St
Baltimore, MD 21202-2123
Phone (410) 332-9000

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Global Anesthesia Services LLC CurrentSince Jan 6, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 7, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
North Calvert Anesthesiology Services LLC CurrentSince Apr 23, 2020 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 7, 2016 Accepting new patients
Urological Institute of Maryland CurrentSince Dec 23, 2021 Accepting new patients

Locations

6339 E Speedway Blvd
Ste 201
Tucson, AZ 85710
Phone (866) 950-8013

626C Admiral Dr
#324
Annapolis, MD 21401

6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817
Phone (301) 263-0800

9001 Woodyard Rd
Ste B
Clinton, MD 20735
Phone (301) 868-4950

6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

70 Sherry Ln
Prince Frederick, MD 20678
Phone (443) 486-4230

1701 York Rd
Timonium, MD 21093
Phone (540) 846-1552

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1770823924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 GOLDSBORO RD",
            "address_2": "STE 400",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208175846",
            "telephone_number": "301-263-0800",
            "fax_number": "301-263-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7375",
            "fax_number": "954-851-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "BRIAN",
        "middle_name": "M.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R182389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.