Individual provider Active NPI

Bryan T. Ambro, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Annapolis, MD
National Provider Identifier
1821176017
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
D0064743 Issued in MD
Practice address
2002 Medical Pkwy
Suite #230
Annapolis, MD 21401-3282
Phone
(410) 266-3900
Fax
(410) 266-9245
NPI assigned
Nov 2, 2006
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102864OtherMDGEISINGER
2154511OtherMDMAMSI
2448951OtherMDUNITED NATIONAL
313988OtherMDAMERIGROUP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000228 MD Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 6103897293 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2002 Medical Pkwy
Suite 230
Annapolis, MD 21401-3282
Phone (410) 266-3900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0064743MDMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA CurrentSince Oct 5, 2006 Accepting new patients
Annapolis ENT Surgical Center LLC CurrentSince Jul 1, 2024 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Sep 17, 2011 Accepting new patients
Apple Drugs Inc Past Accepting new patients
SCHC Pediatric Associates, LLC 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) 328-5829

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "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": "MAMSI",
            "identifier": "2154511",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED NATIONAL",
            "identifier": "2448951",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "313988",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.