Individual
MR. BRIAN ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
301 HOSPITAL DR, SUITE 803, GLEN BURNIE, MD 21061-5803
(410) 553-8160
(410) 553-8159
Mailing address
301 HOSPITAL DR, SUITE 803, GLEN BURNIE, MD 21061-5803
(410) 553-8160
(410) 553-8159
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C00624
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236285
KAISER PERM
MD
01
—
75551
AMERIGROUP
MD
Enumeration date
07/14/2006
Last updated
11/09/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us