Organization
BROOK DIALYSIS LLC
Active
Organization
BROOK DIALYSIS LLC
Active
Other names
Charles County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4475 REGENCY PL, STE 102&103, WHITE PLAINS, MD 20695-3072
(301) 932-9874
(301) 638-2846
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2672
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4213483 00
—
MD
Enumeration date
12/07/2011
Last updated
12/01/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up