Healthcare Provider Details

I. General information

NPI: 1235889981
Provider Name (Legal Business Name): BRANDON MICHAEL CROWLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 06/13/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW DEPARTMENT OF ORTHOPAEDIC SURGERY
WASHINGTON DC
20007
US

IV. Provider business mailing address

3800 RESERVOIR RD NW DEPARTMENT OF ORTHOPAEDIC SURGERY
WASHINGTON DC
20007
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-8766
  • Fax: 202-444-0272
Mailing address:
  • Phone: 202-444-8766
  • Fax: 202-444-0272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMTL500001723
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: