NPIMap

Organization Active NPI

TLC Perinatal Richard Broth MD PC

  • Maternal & Fetal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1992007827
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
D0064574 Issued in MD
Legal business name
TLC PERINATAL RICHARD BROTH MD PC
Practice address
10801 Lockwood Dr
Suite 300
Silver Spring, MD 20901-1556
Phone
(301) 681-0004
Fax
(512) 532-0871
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Richard Elliot Broth, MDNPI 1508854555
Title
Physician/Owner
Phone
(301) 681-0004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X D0064574 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr
Suite 300
Silver Spring, MD 20901-1556

Mailing address

10801 Lockwood Dr
Suite 300
Silver Spring, MD 20901-1556
Phone (301) 681-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111025000232 DC Part B Supplier - Clinic/Group Practice 9537332234 Receives reassigned benefits from 4 practitioners
Practice locations: Germantown, MD; Silver Spring, MD

National Provider Directory

National Provider Directory
Tax ID family
TLC Perinatal Richard Broth MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10801 Lockwood Dr
Ste 300
Silver Spring, MD 20901
Phone (301) 681-0004

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1992007827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-681-0004",
            "fax_number": "512-532-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-681-0004",
            "fax_number": "512-532-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PERINATAL RICHARD BROTH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BROTH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "301-681-0004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MD",
            "license": "D0064574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.