Individual provider Active NPI

Brian Michael Zimnitzky, M.D.

  • Psychiatry Physician
  • Annapolis, MD
National Provider Identifier
1891820908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0057298 Issued in MD
Practice address
716 Giddings Ave Ste 33
Annapolis, MD 21401-1408
Phone
(443) 603-1344
Fax
(410) 510-1588
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0057298 MD Primary

Addresses

Primary practice location

716 Giddings Ave Ste 33
Annapolis, MD 21401-1408

Mailing address

716 Giddings Ave Ste 33
Annapolis, MD 21401-1408
Phone (443) 603-1344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057298MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McClendon Center PastSince Jul 1, 2011 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891820908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 GIDDINGS AVE STE 33",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011408",
            "telephone_number": "443-603-1344",
            "fax_number": "410-510-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 GIDDINGS AVE STE 33",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011408",
            "telephone_number": "443-603-1344",
            "fax_number": "410-510-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMNITZKY",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0057298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.