Individual provider Active NPI

Brenda M Prindle, MD

  • Pediatrics Physician
  • Bel Air, MD
National Provider Identifier
1851634380
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0081689 Issued in MD
Practice address
500 Upper Chesapeake Dr
Pediatric Hospitalist Dept
Bel Air, MD 21014-4324
Phone
(443) 643-1500
NPI assigned
Apr 3, 2013
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0081689 MD Primary

Addresses

Primary practice location

500 Upper Chesapeake Dr
Pediatric Hospitalist Dept
Bel Air, MD 21014-4324

Mailing address

500 Upper Chesapeake Dr
Pediatric Hospitalist Dept
Bel Air, MD 21014-4324
Phone (443) 643-1500

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
I20241119001708 MD Practitioner - Pediatric Medicine 6305148305 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0081689MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Medical Services, Inc CurrentSince Sep 8, 2024 Accepting new patients
Upper Chesapeake Medical Center, Inc. Past Accepting new patients

Locations

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1851634380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "address_2": "PEDIATRIC HOSPITALIST DEPT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "address_2": "PEDIATRIC HOSPITALIST DEPT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINDLE",
        "first_name": "BRENDA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0081689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.