MEDSTAR SURGERY CENTER AT BRANDYWINE, LLC – NPI #1053779116
Clinic/Center

MEDSTAR SURGERY CENTER AT BRANDYWINE, LLC is an AHC clinic located in BRANDYWINE, MD. NPPES has assigned the NPI number 1053779116 to MEDSTAR SURGERY CENTER AT BRANDYWINE, LLC on February 04, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDSTAR SURGERY CENTER AT BRANDYWINE, LLC below.

NPI Profile for
MEDSTAR SURGERY CENTER AT BRANDYWINE, LLC

NPI Number
1053779116
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDSTAR SURGERY CENTER AT BRANDYWINE, LLC
Primary location
13950 BRANDYWINE ROAD
SUITE 100
BRANDYWINE, MD 20613
Phone: (972) 763-3893 Fax: (972) 692-6745
Mailing address
15305 DALLAS PKWY
SUITE 1600
ADDISON, TX 75001-4637
Phone: (972) 763-3893 Fax: (972) 692-6745
Organization Subpart
No
Authorized Official
JENETHA MORAN
OFFICER / AUTHORIZED OFFICIAL
Phone: (972) 763-3893
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.