Organization
BRENT C. BIRELY, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT C. BIRELY M.D. (PRESIDENT)
(410) 828-9570
Entity
Organization
Contact information
Practice address
1300 YORK RD, BUILDING A, SUITE 100, LUTHERVILLE, MD 21093-6016
(410) 828-9570
(410) 583-9120
Mailing address
1300 YORK RD, BUILDING A, SUITE 100, LUTHERVILLE, MD 21093-6016
(410) 828-9570
(410) 583-9120
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3208
RAILROAD MEDICARE
GA
01
—
E681
CAREFIRST DC
DC
01
—
KBQ9BR
CAREFIRST MD
MD
Enumeration date
07/06/2006
Last updated
03/24/2008
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