Active NPI
Bryan T. Ambro, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- D0064743
- Practice address
- 2002 Medical Pkwy
Suite #230
Annapolis, MD 21401-3282 - Phone
- (410) 266-3900
- Fax
- (410) 266-9245
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0064743 | MD | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | D0064743 | MD | Primary |
Addresses
Primary practice location
2002 Medical Pkwy
Suite #230
Annapolis, MD 21401-3282
Mailing address
2002 Medical Pkwy Ste 230
Annapolis, MD 21401-3282
Phone (410) 266-3900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102864 | Other | MD | GEISINGER |
| 313988 | Other | MD | AMERIGROUP |
| 2448951 | Other | MD | UNITED NATIONAL |
| 2154511 | Other | MD | MAMSI |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070222000228 | MD | Practitioner - Otolaryngology | 6103897293 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064743 | MD | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA | Current | Accepting new patients | |
| Shock Trauma Associates, P.a. | Current | Accepting new patients | |
| Annapolis ENT Surgical Center LLC | Current | Accepting new patients | |
| SCHC Pediatric Associates, LLC | Past | Accepting new patients | |
| Apple Drugs Inc | Past | Accepting new patients | |
| Annapolis ENT Surgical Center, LLC | Past | Accepting new patients |
Locations
2002 Medical Pkwy
Ste 230
Annapolis, MD 21401
Phone (410) 226-3900
16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-1791
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
23 Crossroads Dr
Ste 400
Owings Mills, MD 21117
Phone (410) 356-2626
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.
-
- Specialist
- Baltimore, MD
- NPI 1104832948
MD
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1629094917
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1235211046
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1255363578
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Annapolis ENT Surgical Center LLC
Practice addresses (Care Compare)
2002 Medical Pkwy
Suite 230
Annapolis, MD 21401-3282
Phone (410) 266-3900
Hospital & facility affiliations
- Luminis Health Anne Arundel Medical Center, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1821176017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY STE 230",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013282",
"telephone_number": "410-266-3900",
"fax_number": "888-223-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE #230",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013282",
"telephone_number": "410-266-3900",
"fax_number": "410-266-9245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBRO",
"first_name": "BRYAN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0064743",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "MD",
"license": "D0064743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "102864",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "313988",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED NATIONAL",
"identifier": "2448951",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2154511",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.