Brian J Lee, MD, LLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

BRIAN J LEE, MD, LLC

Practice address

3290 N Ridge Rd Ste 250
Ellicott City, MD 21043-3659

Phone

(410) 978-9796

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brian Jen Lee, MDNPI 1730376583

Title

Owner

Phone

(410) 978-9796

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maryland Oculoplastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Jen Lee, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Ellicott City, MD
  • NPI 1730376583
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1831667427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 GOLF ISLAND RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422287",
            "telephone_number": "410-978-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 N RIDGE RD STE 250",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433659",
            "telephone_number": "410-978-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J LEE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-978-9796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043386100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Oculoplastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aliza Breerwood
• Briana Melissa Brennan
• Sandra Ford Brennan, RMP
• Barry Bress
• Sarah Brewer, SLP
• Maria Vittoria Brickley, MA, NCSP
• Ibani Bridgeford, RMP
• Brightlife Inc
• Doreen Brillantes
• Brianne J Brinkley

• Ophthalmic Plastic and Reconstructive Surgery Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.

Verify at the official NPI Registry.