Active NPI
Eric L. Weisbrot, M.D., P.a.
- Primary Care Clinic/Center
- Baltimore, MD
National Provider Identifier
1790812808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- D0021487
- Legal business name
- ERIC L. WEISBROT, M.D., P.A.
- Practice address
- 1021 N Calvert St
Baltimore, MD 21202-3823 - Phone
- (410) 637-8255
- Fax
- (410) 637-8277
- NPI assigned
- Feb 27, 2007
- Last updated
- Dec 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric L. Weisbrot, M.D.
- Title
- President
- Phone
- (410) 637-8255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | D0021487 | MD | Primary |
Addresses
Primary practice location
1021 N Calvert St
Baltimore, MD 21202-3823
Mailing address
1021 N Calvert St
Baltimore, MD 21202-3823
Phone (410) 637-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1285626044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228694400000",
"number": "1790812808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N CALVERT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023823",
"telephone_number": "410-637-8255",
"fax_number": "410-637-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 N CALVERT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023823",
"telephone_number": "410-637-8255",
"fax_number": "410-637-8277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC L. WEISBROT, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2008-12-08",
"status": "A",
"authorized_official_last_name": "WEISBROT",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-637-8255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MD",
"license": "D0021487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.