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MEDSTAR HEALTH AT BRANDYWINE / PRIMARY CARE
NPI 1124474507
Family Medicine in Brandywine, MD

Active since May 04, 2016CLIA 21D0904459 · Waiver
13950 BRANDYWINE RD, SUITE 125, BRANDYWINE, MD 20613(301) 782-2220(301) 782-2221 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medstar Health At Brandywine / Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDSTAR HEALTH AT BRANDYWINE / PRIMARY CARE (NPI 1124474507) is a healthcare organization registered as a family medicine in Brandywine, Maryland and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Judy L Sylvester, Director Of Finance And Billing, as its authorized official.

NPPES Registry Identity

NPI1124474507
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDSTAR HEALTH AT BRANDYWINE
Location Address13950 BRANDYWINE RD, SUITE 125Brandywine, MD 20613-5815
Mailing Address13950 Brandywine Rd, Suite 125Brandywine, MD 20613-5815 · (301) 782-2220 · Fax (301) 782-2221
Phone(301) 782-2220
Fax(301) 782-2221
Organization SubpartYesParent: Medstar Ambulatory Services, Inc.
Authorized OfficialJudy L SylvesterDirector Of Finance And Billing · (301) 877-4564
Enumeration DateMay 4, 2016
✔ NPI 1124474507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
13950 BRANDYWINE RD, Brandywine, MD 20613
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Other Names 1

Doing Business AsMedstar Health At Brandywine / Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0904459

Medstar Health At Brandywine · Brandywine, MD
Active · expires Oct 31, 2027
CLIA Number21D0904459
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorSloan F. Mccoy
Laboratory Phone(301) 782-2184
Laboratory LocationMedstar Health At Brandywine13950 Brandywine Rd, Brandywine, MD 20613
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS CESTARE MD
Pain Medicine (Interventional Pain Medicine)
13950 BRANDYWINE RD
BRANDYWINE, MD 20613
Prince George's County (301) 782-2220
KATIE PLITT LPTA
Physical Therapy Assistant
13950 BRANDYWINE RD
BRANDYWINE, MD 20613
Prince George's County (301) 782-2250
DENVER SMITH
Physical Therapy Assistant
13950 BRANDYWINE RD
BRANDYWINE, MD 20613
Prince George's County (301) 782-2250
ANZHU LIANG DPT
Physical Therapist
13950 BRANDYWINE RD
BRANDYWINE, MD 20613
Prince George's County (130) 178-2225
MICHAEL EDWARD JAMES
Student in an Organized Health Care Education/Training Program
13950 BRANDYWINE RD
BRANDYWINE, MD 20613
Prince George's County (301) 782-2250
MEDSTAR MEDICAL GROUP II LLC
General Practice
13950 BRANDYWINE RD, SUITE 225
BRANDYWINE, MD 20613
Prince George's County (301) 782-2220
KEVIN LONGANGU
Student in an Organized Health Care Education/Training Program
13950 BRANDYWINE RD
BRANDYWINE, MD 20613
Prince George's County (301) 782-2250
SUMMYA KHAN
Physical Therapist
13950 BRANDYWINE RD
BRANDYWINE, MD 20613
Prince George's County (301) 782-2220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medstar Health At Brandywine's NPI number?

The NPI number for Medstar Health At Brandywine is 1124474507. It was assigned to this organization in the NPPES registry on May 4, 2016. The provider is doing business as Medstar Health At Brandywine / Primary Care.

Where is Medstar Health At Brandywine located?

Medstar Health At Brandywine is located at 13950 Brandywine Rd Suite 125, Brandywine, MD 20613. The listed phone number is (301) 782-2220.

What is Medstar Health At Brandywine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Medstar Health At Brandywine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0904459) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medstar Health At Brandywine was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.