Brent C. Birely, M.D., P.a.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

BRENT C. BIRELY, M.D., P.A.

Practice address

1300 York Rd
Building a, Suite 100
Lutherville, MD 21093-6016

Phone

(410) 828-9570

Fax

(410) 583-9120

NPI assigned

Jul 6, 2006

Last updated

Mar 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent C. Birely, M.D.NPI 1679501316

Title

President

Phone

(410) 828-9570

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent C. Birely, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Lutherville, MD
  • NPI 1679501316
  Medicare reassignment NPD Authorized official
• Cheryl Sugar, P.A.-C

  • Plastic and Reconstructive Surgery Physician
  • Lutherville, MD
  • NPI 1922036672
  Medicare reassignment

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1982635074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD",
            "address_2": "BUILDING A, SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "410-828-9570",
            "fax_number": "410-583-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD",
            "address_2": "BUILDING A, SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "410-828-9570",
            "fax_number": "410-583-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT C. BIRELY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BIRELY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-828-9570",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3208",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "E681",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "KBQ9BR",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kraig S Bower, M.D.
• Kellyanne Boylan, AU.D.
• Jordan Amber Bradford, OTD, OTR/L
• Hannah Michele Breckenridge
• June Elizabeth Breiner, M.D.
• Susan B Bressler, M.D.
• Carli Christine Brewer, PT, DPT
• Bridge & Bloom Counseling, LLC
• Kirsten Michele Brinkmann, M.D.
• Jacqueline Brown

• Plastic and Reconstructive Surgery Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Plastic and Reconstructive Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.