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NPI Code Detail

MEDICARE: DR. BRIAN RON SIMS M.D.

MEDICARE: DR. BRIAN RON SIMS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianD40578MD

General Provider Information

NPI Number : 1225029796
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN RON SIMS M.D.
Provider Business Mailing Address
First Line : 1219 FAIRFIELD ESTATES LN
Second Line :
City : CROWNSVILLE
State : MD
Zip : 21032-2033
Country : US
Telephone Number : 410-923-6113
Fax Number : 410-315-9300
Provider Business Practice Location Address
First Line : 55 WADE AVE
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-4663
Country : US
Telephone Number : 410-402-7645
Fax Number : 410-402-7638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/08/2007

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