Address: 1621 Sulgrave Ave, Baltimore, MD 21209-3664

BRIAN MICHAEL BOSTON (NPI# 1003400094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003400094
Entity Type Individual
Gender Male
Credential LE
Practice Address 1621 Sulgrave Ave
MD 21209-3664
Practice Telephone 4105780033
Mailing Address 707 York Rd Apt 5209
MD 21204-2892
Mailing Telephone 4103652798
Certification Date 2021-02-22
Enumeration Date 2021-02-22
Last Update Date 2021-02-22
Is Sole Proprietor Y


Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 174400000X Specialist E01474 MD Other Service Providers

Office Location

Street Address 1621 SULGRAVE AVE
State MD
Zip Code 21209-3664

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982241626 Mary Della-Davis Technician, Other 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 2019-12-02

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1659996239 Esther Deena Kahn Occupational Therapist 2325 Blackberry Rd, Baltimore, MD 21209 2020-06-10
1356988059 Bunny's Home Care, LLC Home Health Aide 1340 Smith Avenue, Baltimore, MD 21209 2019-12-02
1982161246 Sylvia Stewart Powell Social Worker · Clinical 4600 Falls Road, Baltimore, MD 21209 2019-02-22
1811452279 Honeyb Wellness Counselor · Professional 4639 Falls Rd, Baltimore, MD 21209 2019-02-09
1326513169 Nicole Ellerbe Massage Therapist 5550 Newbury Street, Suite A Office E, Baltimore, MD 21209 2018-10-08
1508350141 Delmarva Capital, LLC · Atlantic Medical, LLC Internal Medicine 5717 Falls Rd, Baltimore, MD 21209 2018-06-18
1598259293 Michelle Moore Social Worker · Clinical 4623 Falls Rd, Baltimore, MD 21209 2018-06-18
1417448861 Ting-Jia Rosalinda Huang Lorigiano Student in an Organized Health Care Education/Training Program 581 Smith Avenue, Suite 210, Baltimore, MD 21209 2018-05-22
1427546126 Lea Jane Selitsky Student in an Organized Health Care Education/Training Program The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 2018-04-27
1508362609 Total Women's Health of Baltimore,Pa Obstetrics & Gynecology 6080 Falls Rd Ste 204, Baltimore, MD 21209 2018-04-05
Find all providers in zip 21209

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356956593 Tara Marcell Pettiford · Tara Marcell Townes 3530 E Northern Pkwy, Baltimore, MD 21206-1632 2020-09-14
1144876806 Dominic T Mitchell 4626 Kavon Ave, Baltimore, MD 21206-5706 2019-08-17
1164083101 Chana Cohen 6417 Elray Dr Apt A, Baltimore, MD 21209-2928 2019-06-20
1619477742 Colleen Marie Berry 7222 Fairbrook Rd, Baltimore, MD 21244-1751 2018-02-15
1225536337 Martha Graf 3501 Taylor Ave, Baltimore, MD 21236-4406 2018-01-24
1104372853 Clarkview Physicians 1427 Clarkview Road, 300, Baltimore, MD 21209 2016-08-31
1831548569 Angel Byrd 601 N Caroline St, Baltimore, MD 21287-0006 2016-06-03
1851752703 Alicia Barksdale · Eleasia Barksdale 3825 Greenspring Ave, Baltimore, MD 21211-1310 2016-03-18
1215309406 Majidah Bukhari 1800 Orleans St, Baltimore, MD 21287-0010 2015-10-27
1780055343 Patricia M Disharoon Md 3414 Saint Paul St, Baltimore, MD 21218-2701 2015-10-08
Find all providers in BALTIMORE


Search similar providers

Zip Code 21209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.