Active NPI
Bret K Purcell
- Infectious Disease Physician
- Frederick, MD
National Provider Identifier
1801808670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- K0363
- Practice address
- 1425 Porter St
Frederick, MD 21702-9211 - Phone
- (301) 619-7175
- NPI assigned
- Aug 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | K0363 | TX | Primary |
Addresses
Primary practice location
1425 Porter St
Frederick, MD 21702-9211
Mailing address
1425 Porter St
Frederick, MD 21702-9211
Phone (301) 619-7175
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0363 | TX | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801808670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 PORTER ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217029211",
"telephone_number": "301-619-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTER ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217029211",
"telephone_number": "301-619-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "BRET",
"middle_name": "K",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "K0363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.