Type 1 Individual Provider
NPI 1952543191ActiveOrganization· Exclusive Provider Organization· Silver Spring, MD
Exclusive Provider Organization in Silver Spring, Maryland, registered in NPPES in April 2009. The authorized official on file is Brena Gibson, P.H.D, Human Resources Director.
Overview
| NPI | 1952543191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2009 |
| Last updated in NPPES | Apr 8, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | LC2381 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Exclusive Provider Organization providers in Silver Spring
- 1518105238
- 1598905812