Healthcare Provider Details

I. General information

NPI: 1629044078
Provider Name (Legal Business Name): BRIAN C LERNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2006
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 GIRARD ST
HAVRE DE GRACE MD
21078-3215
US

IV. Provider business mailing address

825 S BOND ST
BALTIMORE MD
21231-3308
US

V. Phone/Fax

Practice location:
  • Phone: 443-502-8606
  • Fax:
Mailing address:
  • Phone: 443-695-0638
  • Fax: 410-284-2816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number180769
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number180769
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD26533
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberD26533
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD26533
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: