Active NPI
Brian Michael Connolly, MD
- Dermatology Physician
- Prince Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0098480
- Practice address
- 995 Prince Frederick Blvd Ste 204
Prince Frederick, MD 20678-5101 - Phone
- (443) 351-3376
- NPI assigned
- Jul 14, 2014
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0098480 | MD | Primary |
| Dermatology Physician | 207N00000X | 18785 | NH |
Addresses
Primary practice location
995 Prince Frederick Blvd Ste 204
Prince Frederick, MD 20678-5101
Mailing address
PO Box 23329
New York, NY 10087-3329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
995 Prince Frederick Blvd
Suite 204
Prince Frederick, MD 20678-5101
Phone (443) 351-3376
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 92 |
| Removal of skin lesions | 1864 |
| Removal or shaving of skin growth | 57 |
| Skin biopsy | 369 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D98480 | MD | MD | Dermatology Physician |
| 18785 | NH | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel Dermatology LLC | Dermatology | Current | Accepting new patients |
| Anne Arundel Dermatology, PA | Dermatology | Current | Accepting new patients |
| Apderm North, PC | Dermatology | Past | Accepting new patients |
Locations
180 Admiral Cochrane Dr
Ste 430
Annapolis, MD 21401
Phone (410) 263-5439
6410 Rockledge Dr
Ste 402
Bethesda, MD 20817
Phone (301) 530-4800
1185 Imperial Dr
Ste 201
Hagerstown, MD 21740
Phone (443) 351-8376
1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090
995 Prince Frederick Blvd
Ste 204
Prince Frederick, MD 20678
Phone (410) 535-5855
Interoperability endpoints
- bconnolly@aadermaffiliates.emadirect.md
- bconnolly@apderm.emadirect.md
Organizations & group practices 4
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.
-
- Dermatology Physician
- Concord, MA
- NPI 1285614834
-
- Dermatology Physician
- Prince Frederick, MD
- NPI 1568292282
-
- Dermatology Physician
- Westford, MA
- NPI 1942508379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1982011797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23329",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 PRINCE FREDERICK BLVD STE 204",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206785101",
"telephone_number": "443-351-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-14",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0098480",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NH",
"license": "18785",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.