DR. BRIAN J SULLIVAN (NPI# 1013915883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013915883 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J SULLIVAN |
| Credential | MD |
| Practice Address |
1000 Bestgate Rd Ste 400 Annapolis MD 21401 |
| Mailing Address |
1000 Bestgate Rd Ste 400 Annapolis MD 21401-3371 |
| Practice Telephone | 4102662720 |
| Practice Fax Number | 4102440209 |
| Mailing Telephone | 4102662720 |
| Mailing Fax Number | 4102240209 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | D0050954 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 3550284 | 01 | |
| BCBS | 76918803 | 01 | |
| MD | BCBS | 76918806 | 01 |
| MAMSI | 471782 | 01 | |
| BCBS | 76918804 | 01 | |
| DC | BCBS | J4570002 | 01 |
| MD | 352303900 | 05 | |
| DC | BCBS | D3800006 | 01 |
| DC | BCBS | W8490002 | 01 |
| MD | BCBS | 76918807 | 01 |
| FEDERAL WORKMANS COMP | 487760200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972761252 | Brian Michael Sullivan | Family Medicine | 514 Americas Way, Apt 6347, Box Elder, SD 57719-7600 | 2008-05-23 |
| 1336282961 | Brian C Sullivan | Chiropractor | 142 Rantoul St, Beverly, MA 01915-4241 | 2007-02-14 |
| 1306947338 | Brian A Sullivan | Chiropractor | 101 Blossom Dr, Winchester, VA 22602-6100 | 2006-09-25 |
| 1174537120 | Brian Patrick Sullivan | Psychologist | 5170 Hwy 105 S, Suite 1, Banner Elk, NC 28604 | 2006-07-27 |
| 1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
| 1659869550 | Brian Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 601 N Caroline St # 5165, Baltimore, MD 21287-0006 | 2018-04-25 |
| 1316466956 | Brian H Sullivan | Community Health Worker | 140 Route 303, Valley Cottage, NY 10989-5906 | 2017-09-14 |
| 1699290106 | Brian Sullivan | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-08-04 |
| 1831551654 | Brian Sullivan | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2016-03-22 |
| 1639558893 | Brian Sullivan | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2015-05-21 |
| Street Address |
1000 BESTGATE RD STE 400 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046327 | Gary Alfred Dix | Neurological Surgery | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2005-07-13 |
| 1720553159 | Alexandre Andre Debetencourt | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2018-10-12 |
| 1700396892 | Kevin Slayton | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2017-10-03 |
| 1093041295 | Dana K Cotham | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2009-10-22 |
| 1942330667 | Simi Okuboye | Nurse Practitioner | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 | 2007-03-06 |
| 1689727141 | Karen J Scott | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 | 2007-01-19 |
| 1619074077 | Kerrie L Sullivan | Nurse Practitioner | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 | 2006-09-20 |
| 1649211343 | Wendy J Riekers | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 | 2006-06-10 |
| 1396713913 | Maryland Brain Spine & Pain LLC | Neurological Surgery | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2006-03-09 |
| 1720053069 | Franklin R Hepfer | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046327 | Gary Alfred Dix | Neurological Surgery | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2005-07-13 |
| 1073716973 | Clifford T. Solomon, Md | Neurological Surgery | 2002 Medical Pkwy, Suite 460, Annapolis, MD 21401-3046 | 2007-06-07 |
| 1013031004 | Agostino J Visioni | Neurological Surgery | 2002 Medical Parkway, Suite 430, Annapolis, MD 21401-3263 | 2007-03-17 |
| 1396713913 | Maryland Brain Spine & Pain LLC | Neurological Surgery | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2006-03-09 |
| 1649278458 | Timothy G Burke | Neurological Surgery | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2005-07-14 |
| 1316945207 | Thomas Barbee Ducker | Neurological Surgery | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659852945 | Anne Arundel Brain and Spine, LLC | Neurological Surgery | 1630 Main St Ste 213, Chester, MD 21619-2793 | 2018-08-24 |
| 1477033421 | Mercedez Freeman | Neurological Surgery | 4940 Eastern Ave Ste 2100, Baltimore, MD 21224-2735 | 2018-08-20 |
| 1417460619 | Proactive Pain and Neurology, LLC | Neurological Surgery | 921 Seton Dr Ste F&g, Cumberland, MD 21502-1852 | 2017-11-09 |
| 1609252766 | Frederick Hambrecht | Neurological Surgery | 14015 Manorvale Rd, Rockville, MD 20853-2519 | 2015-07-30 |
| 1952714370 | Narayanan Neurosurgery Services | Neurological Surgery | 4501 Pinetree Ave, Rockville, MD 20853 | 2014-06-03 |
| 1982030847 | Calvin B Early | Neurological Surgery | 9311 Ball Rd, Ijamsville, MD 21754-9537 | 2013-09-23 |
| 1801233101 | Hansen Bow | Neurological Surgery | 501 St. Paul Street, Apt. 805, Baltimore, MD 21202 | 2013-05-28 |
| 1972946689 | David P Mcmullen | Neurological Surgery | 1800 Orleans Street, Mailstop 6007, Johns Hopkins Hospital Department of Neurosurgery, Baltimore, MD 21287-0001 | 2013-04-11 |
| 1710229224 | Christopher Mitchell Jackson | Neurological Surgery | 600 N Wolfe St Tower 110, The Johns Hopkins Hospital, Baltimore, MD 21287-2109 | 2013-03-22 |
| 1326384173 | Bernard Earl Finneson | Neurological Surgery | 491 Cormorant Ct, Chestertown, MD 21620-1244 | 2012-12-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.