Dr. Brian B Park , DC
Chiropractor • Baltimore, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brian Park has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Brian Park, DC was a registered Chiropractor practicing in Baltimore, MD. Throughout an active medical career spanning 20 years, Dr. Park provided care at the practice location at 4200 EDMONDSON AVE until profile deactivation on 2025-09-25.
Practice Location & Contact Primary Location
4200 Edmondson Ave
Suite 101
Baltimore, MD 212291612
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Baltimore, MD
Practicing in Baltimore, MD (905 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 25, 2025
NPI status registered as active in NPPES database
Registered at 4200 EDMONDSON AVE, SUITE 101, BALTIMORE, MD 212291612 (Tel: 4109470300)
Registered at 9601 PULASKI PARK DR, SUITE 416, BALTIMORE, MD 212201409 (Tel: 4109335678)
Recorded as BRIAN PARK, DC
Chiropractor (License #S01759 in MD)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
9601 Pulaski Park Dr, Suite 416
Baltimore, MD 212201409
Phone: 4109335678
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