Organization
MEDSTAR MEDICAL GROUP RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN H BRICK M.D. (PRESIDENT)
(301) 902-1073
Entity
Organization
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(301) 902-1073
(301) 902-1086
Mailing address
2331 BROADBIRCH DR, SILVER SPRING, MD 20904-1934
(301) 902-1073
(301) 902-1086
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075528800
—
DC
05
—
452303200
—
MD
01
—
DV0409
RR MEDICARE
MD
01
—
DV0411
RR MEDICARE
DC
Enumeration date
05/28/2014
Last updated
02/02/2021
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