Healthcare Provider Details

I. General information

NPI: 1285934570
Provider Name (Legal Business Name): P. PHAM AND J. BRIGGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2010
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 BUCKEYSTOWN PIKE STE 186
FREDERICK MD
21704-8337
US

IV. Provider business mailing address

5100 BUCKEYSTOWN PIKE STE 186
FREDERICK MD
21704-8337
US

V. Phone/Fax

Practice location:
  • Phone: 301-682-8888
  • Fax: 301-682-3515
Mailing address:
  • Phone: 301-682-8888
  • Fax: 301-682-3515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL RICHARD THOLEN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 301-682-8888