Maryland Spine and Brain Specialists, LLC
NPI 1639359508ActiveOrganization· Specialist· Elkridge, MD
Specialist in Elkridge, Maryland, registered in NPPES in November 2007. The authorized official on file is Brittany Tilman, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639359508 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2007 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | D53752 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
Other Specialist providers in Elkridge
- 1104995679
- 1407933310