Healthcare Provider Details

I. General information

NPI: 1518960970
Provider Name (Legal Business Name): STEVEN S. BROOKS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1838 GREENE TREE RD STE 535
BALTIMORE MD
21208-7104
US

IV. Provider business mailing address

1838 GREENE TREE RD STE 150LL
BALTIMORE MD
21208-6391
US

V. Phone/Fax

Practice location:
  • Phone: 410-653-3923
  • Fax: 410-653-1296
Mailing address:
  • Phone: 410-602-9262
  • Fax: 410-602-9276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0060393
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberD0060393
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: