Individual provider Active NPI

Briana Nicole Stine

  • Urology Physician
  • Columbia, MD
National Provider Identifier
1790373330
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C0007786 Issued in MD
Practice address
6504 Ranging Hills Gate
Columbia, MD 21044-6068
Phone
(443) 812-2757
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C0007786 MD Primary

Addresses

Primary practice location

6504 Ranging Hills Gate
Columbia, MD 21044-6068

Mailing address

6504 Ranging Hills Gate
Columbia, MD 21044-6068
Phone (443) 812-2757

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121000029 MD Practitioner - Physician Assistant 6406260140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140

Hospital & facility affiliations

  • Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC Urology CurrentSince Jan 1, 2021 Accepting new patients
Chesapeake Urology Associates LLC Urology CurrentSince Jan 1, 2021 Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients

Locations

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

1838 Greene Tree Rd
Ste 450
Pikesville, MD 21208

6535 N Charles St
Ste 500
Towson, MD 21204
Phone (410) 296-4181

Interoperability endpoints

  • Direct secure messaging: brianastine@tsicua.allscriptsdirect.net

Organizations & group practices 4

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 5

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1790373330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 RANGING HILLS GATE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446068",
            "telephone_number": "443-812-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 RANGING HILLS GATE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446068",
            "telephone_number": "443-812-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "BRIANA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "C0007786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.