Bryan J Lebude (NPI# 1316267446, PAC ID# 5597056432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1316267446 |
| PAC ID by PECOS | 5597056432 |
| Professional Enrollment ID | I20160623000487 |
| Full Name | Bryan J Lebude |
| Organization Legal Name | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| Address |
11707 Livingston Rd Suite 306 Fort Washington MD 20744-5151 |
| Phone Number | 3017057870 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2010 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355667056 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 | 3017057870 | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 3013737900 | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 | 3017057870 | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis A Velazquez | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group-southern Maryland LLC | 130 Hospital Rd, Suite 300, Prince Frederick, MD 20678-4057 |
| Moenil Patel | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Lukasz R Kiljanek | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 3581 Old Washington Rd, Suite D, Waldorf, MD 20602-3270 |
| Syed K Hussaini | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 28030 Old Village Rd, Mechanicsville, MD 20659-4288 |
| Sailaja C Nandipati | Rheumatology | Medstar Medical Group-southern Maryland LLC | 3500 Old Washington Rd, 102 Medstar Shah Waldorf Cancer Center, Waldorf, MD 20602-3205 |
| Adele A Fields | Diagnostic Radiology | Medstar Medical Group-southern Maryland LLC | 24035 Three Notch Rd, Hollywood, MD 20636-4871 |
| George B Bren | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 |
| Paul B Berez | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 2200 Defense Hwy 100, Crofton, MD 21114-2458 |
| Michael Edward Perraut | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| John C Patterson | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 7501 Surratts Rd, Suite 201a, Clinton, MD 20735-3362 |
| Street Address |
11707 LIVINGSTON RD SUITE 306 |
| City | FORT WASHINGTON |
| State | MD |
| Zip | 20744-5151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George B Bren | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 |
| Roy H. Leiboff | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 |
| Deidra L Varner | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 |
| Sunil K Nachnani | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 |
| Utpal K Dutta | Nephrology | Medstar Medical Group-southern Maryland LLC | 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 |
| Anar A Modi | Endocrinology | Medstar Medical Group-southern Maryland LLC | 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darell A Andrews | Chiropractic | 12805 Old Fort Rd, Suite 201, Fort Washington, MD 20744-2803 | |
| Emma Norfleet | Clinical Social Worker | 12801 Old Fort Rd, Suite 303, Fort Washington, MD 20744-2833 | |
| Margaret H Rollison | Clinical Social Worker | 10903 Indian Head Hwy, Suite 503, Fort Washington, MD 20744-4007 | |
| Rashid M Khan | Physical Medicine and Rehabilitation | 10903 Indian Head Hwy 307, Fort Washington, MD 20744-4010 | |
| Bahareh Borhani | Chiropractic | 10903 Indian Head Hwy, Suite 506, Fort Washington, MD 20744-4012 | |
| Alice Fike | Nurse Practitioner | Fort Washington Medical Associates Now, LLC | 10709 Indian Head Hwy, Suite C, Ft Washington, MD 20744-4036 |
| Mildred J Medrano | Nurse Practitioner | Fort Washington Urgent Care Now LLC | 10709 Indian Head Hwy, Suite D, Ft Washington, MD 20744-4036 |
| Danielle Nicole Jones | Family Medicine | Fort Washington Urgent Care Now LLC | 10709 Indian Head Hwy, Suite D, Ft Washington, MD 20744-4036 |
| Oleksandr Semeniuk | Internal Medicine | Fort Washington Medical Associates Now, LLC | 10709 Indian Head Hwy, Suite C, Ft Washington, MD 20744-4036 |
| Nabila Abdulwahab | Nurse Practitioner | Fort Washington Urgent Care Now LLC | 10709 Indian Head Hwy, Suite D, Ft Washington, MD 20744-4036 |
| Find all physicians in zip 20744 | |||
| City | FORT WASHINGTON |
| Zip Code | 20744 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | FORT WASHINGTON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.