Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 209697 | NC |
N | 207X00000X | Orthopaedic Surgeon | D92114 | MD |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 209697 | NC |
N | 207XS0117X | Orthopaedic Spine Surgeon | 209697 | NC |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 209697 | NC |
NPI | 1811382690 |
---|---|
Provider Name | Aaron Brandt |
First Address | Middle River, MD 21220-2004 |
Second Address | Baltimore, MD 21287-0005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 24/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D92114 | LICENSE (01) | MD |