Active NPI 1609011329 Individual Practitioner Male Practitioner

Dr. Brett F Holt , MD

Urology • Fairfax, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Brett Holt, MD is a certified Urology practicing in Fairfax, VA. With approximately 20 years of clinical experience since graduating from George Washington University School Of Medicine in 2006, Dr. Holt delivers high-quality medical care to the local community at 8081 INNOVATION PARK DR # 500.

Dr. Holt is affiliated with Inova Health Care Services and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include bcg live intravesical instillation, 1 mg, established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8081 Innovation Park Dr # 500

Fairfax, VA 220314867

Telephone 5714727040

Fax 5714727041

Associated Practice Facility / Clinic

🏢 Inova Health Care Services Facility NPI 1952320061

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fairfax, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -5.2 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

25 Specialists

Practicing in Fairfax, VA (381 Statewide)

Telehealth Adoption Rate

44.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Holt (20 Years) 20 Yrs

Fairfax Specialty Average (25.2 Years) 25.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,322	27	$6.23	$2.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	723	506	$289.00	$141.07
52000 Diagnostic exam of bladder and urethra using an endoscope	129	103	$557.00	$273.07
99213 Established patient office or other outpatient visit, typically 15 minutes	111	104	$191.00	$100.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	56	$529.00	$182.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	38	$189.00	$84.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$443.00	$184.46
51720 Instillation of anti-cancer drug into bladder	43	27	$281.00	$100.08
51702 Simple insertion of temporary bladder tube	42	18	$203.00	$70.92
74420 Imaging of urinary tract	38	29	$69.00	$25.75
76872 Ultrasound scan of pelvic region through rectum	37	36	$88.00	$34.49
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	37	36	$85.00	$31.83
55700 Biopsy of prostate gland	37	36	$713.00	$139.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	29	$272.00	$124.12
51705 Removal of skin suture with change of bladder tube	35	13	$279.00	$110.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	23	$66.00	$26.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$389.00	$199.00
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	20	$895.00	$354.86
51798 Ultrasound measurement of bladder capacity after voiding	19	18	$55.00	$13.31
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	18	$1547.37	$459.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	14	$1650.59	$125.77
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$1971.73	$328.98
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$4237.91	$1179.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$293.00	$124.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	2,600	28	$6.23	$2.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	580	420	$288.75	$144.45
99213 Established patient office or other outpatient visit, typically 15 minutes	177	159	$191.00	$101.52
52000 Diagnostic exam of bladder and urethra using an endoscope	119	90	$557.00	$283.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	50	$189.00	$87.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$443.10	$186.84
51720 Instillation of anti-cancer drug into bladder	51	27	$280.77	$102.80
51702 Simple insertion of temporary bladder tube	48	24	$202.65	$72.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$529.20	$189.02
76872 Ultrasound scan of pelvic region through rectum	43	43	$88.20	$34.60
55700 Biopsy of prostate gland	38	38	$713.48	$140.02
51798 Ultrasound measurement of bladder capacity after voiding	34	30	$54.60	$13.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	30	$388.50	$202.82
51705 Removal of skin suture with change of bladder tube	29	15	$278.78	$111.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	22	$66.15	$27.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$292.95	$124.34
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$85.24	$33.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	15	$1624.29	$120.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$359.10	$144.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	16	$271.69	$126.18
74420 Imaging of urinary tract	13	11	$68.51	$26.75
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2460.49	$810.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,700	17	$5.93	$2.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	352	$275.00	$146.69
52000 Diagnostic exam of bladder and urethra using an endoscope	119	92	$507.00	$301.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$422.00	$188.55
99213 Established patient office or other outpatient visit, typically 15 minutes	100	88	$188.00	$105.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	34	$258.75	$112.15
51702 Simple insertion of temporary bladder tube	40	21	$193.00	$75.83
51720 Instillation of anti-cancer drug into bladder	34	17	$267.40	$104.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$504.00	$212.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	24	$180.00	$79.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	32	$370.00	$202.02
51705 Removal of skin suture with change of bladder tube	28	17	$265.50	$117.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$279.00	$130.05
76872 Ultrasound scan of pelvic region through rectum	21	21	$84.00	$36.14
55700 Biopsy of prostate gland	21	21	$679.50	$145.76
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	17	$1484.44	$118.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$342.00	$150.24
51798 Ultrasound measurement of bladder capacity after voiding	16	16	$52.00	$13.22
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$852.75	$392.58
76872 Ultrasound scan of pelvic region through rectum	13	13	$84.00	$35.99
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2343.32	$827.99
55700 Biopsy of prostate gland	12	12	$679.50	$144.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$63.00	$27.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,550	19	$5.90	$2.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	401	291	$278.28	$150.35
52000 Diagnostic exam of bladder and urethra using an endoscope	147	114	$527.82	$281.16
99213 Established patient office or other outpatient visit, typically 15 minutes	118	100	$187.01	$106.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$416.13	$193.21
99443 Telephone medical discussion with physician, 21-30 minutes	75	65	$275.28	$152.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	35	$176.17	$81.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$336.83	$153.87
51702 Simple insertion of temporary bladder tube	38	16	$193.00	$78.50
51720 Instillation of anti-cancer drug into bladder	33	19	$266.13	$97.75
51705 Removal of skin suture with change of bladder tube	29	11	$262.86	$119.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	21	$1974.96	$165.03
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$800.67	$383.72
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	18	$1467.27	$487.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$255.39	$116.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$274.97	$132.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$370.54	$211.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	14	$498.25	$226.14
51700 Simple bladder irrigation and/or instillation	16	13	$218.00	$34.50
51798 Ultrasound measurement of bladder capacity after voiding	15	15	$52.00	$13.11
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	15	13	$677.72	$244.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	950	12	$5.83	$2.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	183	$263.00	$123.98
99213 Established patient office or other outpatient visit, typically 15 minutes	201	174	$178.00	$86.97
52000 Diagnostic exam of bladder and urethra using an endoscope	121	91	$499.73	$254.70
99442 Telephone medical discussion with physician, 11-20 minutes	68	65	$178.00	$87.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	39	$172.00	$81.94
99443 Telephone medical discussion with physician, 21-30 minutes	54	51	$263.00	$127.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$404.00	$190.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	39	$328.00	$156.56
51705 Removal of skin suture with change of bladder tube	25	15	$257.00	$114.62
51702 Simple insertion of temporary bladder tube	23	14	$193.00	$74.27
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	20	$1626.43	$151.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	20	$634.00	$346.73
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	17	$1670.42	$521.57
51720 Instillation of anti-cancer drug into bladder	17	12	$262.15	$99.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$267.00	$117.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$63.00	$27.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$352.00	$168.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	700	12	$5.58	$2.61
99213 Established patient office or other outpatient visit, typically 15 minutes	432	327	$178.00	$84.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	213	$263.00	$123.21
52000 Diagnostic exam of bladder and urethra using an endoscope	120	86	$484.02	$221.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$404.00	$182.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	42	$172.00	$78.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	64	$328.00	$152.31
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	33	29	$634.00	$316.34
52356 Crushing of stone of ureter with insertion of stent using an endoscope	29	25	$1369.19	$461.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$267.00	$123.99
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	22	$1670.00	$157.41
51720 Instillation of anti-cancer drug into bladder	26	19	$261.19	$96.47
51798 Ultrasound measurement of bladder capacity after voiding	23	22	$52.00	$15.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$352.00	$165.49
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	14	13	$981.88	$109.22
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	11	11	$659.55	$220.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	498	369	$178.00	$82.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	221	$263.00	$120.77
52000 Diagnostic exam of bladder and urethra using an endoscope	130	93	$436.89	$191.47
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	70	14	$353.00	$153.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$404.00	$185.59
51798 Ultrasound measurement of bladder capacity after voiding	68	57	$52.00	$19.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	35	$172.00	$80.25
J9031 Bcg (intravesical) per instillation	52	13	$263.00	$134.20
51720 Instillation of anti-cancer drug into bladder	51	13	$255.90	$98.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$328.00	$150.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$267.00	$120.44
52356 Crushing of stone of ureter with insertion of stent using an endoscope	28	22	$1048.00	$472.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$352.00	$163.55
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	25	24	$634.00	$277.19
51702 Simple insertion of temporary bladder tube	20	16	$193.00	$74.36
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	20	16	$923.00	$58.58
55700 Biopsy of prostate gland	18	18	$574.00	$291.65
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	15	$1503.00	$177.29
76872 Ultrasound scan of pelvic region through rectum	16	16	$303.23	$113.53
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$51.00	$25.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	439	343	$178.00	$82.07
81003 Automated urinalysis test	322	239	$7.00	$3.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	210	$263.00	$119.68
52000 Diagnostic exam of bladder and urethra using an endoscope	131	87	$436.89	$187.17
51798 Ultrasound measurement of bladder capacity after voiding	127	104	$52.00	$23.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$404.00	$182.73
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	84	14	$680.00	$210.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	39	$172.00	$79.33
J9031 Bcg (intravesical) per instillation	50	16	$263.00	$126.72
51720 Instillation of anti-cancer drug into bladder	44	19	$255.90	$102.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$328.00	$150.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$267.00	$122.50
51702 Simple insertion of temporary bladder tube	35	16	$193.00	$73.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	16	$246.00	$114.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$352.00	$162.33
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	19	$1717.71	$172.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$481.00	$223.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	19	$51.00	$23.34
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	13	$95.00	$38.24
55700 Biopsy of prostate gland	18	18	$574.00	$274.98
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$487.75	$66.94
51705 Removal of skin suture with change of bladder tube	17	12	$257.00	$105.78
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$634.00	$281.25
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	13	12	$923.00	$57.67
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2103.00	$959.10
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$1048.00	$470.10
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	12	12	$615.00	$246.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$109.00	$49.77
51703 Complicated insertion of bladder tube	12	11	$343.00	$86.81

Medical Specialties & State Licenses

CMS Verified: 2026-04-23

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License VA 0101252224

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Inova Health Care Services

8081 Innovation Park Dr, Fairfax, VA 220314867

Inova Health Care Services

3300 Gallows Rd, Falls Church, VA 220423307

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Dr. Matthew Moynihan , MD

Urology

NPI 1063893717

Doctor of Medicine (M.D.)

Odyzza Centro , PA-C

Physician Assistant

NPI 1104583947

Physician Assistant (Certified)

Dima Zaza , AGACNP

Nurse Practitioner

NPI 1144785809

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Blair Allais , MD

Dermatology

NPI 1386141687

Doctor of Medicine (M.D.)

Dr. Jennifer Rolef , MD

Urology

NPI 1699033878

Doctor of Medicine (M.D.)

Dr. Paulina Wilson , MD

Urology

NPI 1780902981

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location April 23, 2026

Registered at 8081 INNOVATION PARK DR # 500, FAIRFAX, VA 220314867 (Tel: 5714727040)

📍

Updated Practice Location November 12, 2020

Registered at 8081 INNOVATION PARK DR, FAIRFAX, VA 220314867 (Tel: 5714724724)

📍

Updated Business Mailing Address November 12, 2020

Registered at PO BOX 37174, BALTIMORE, MD 212973174 (Tel: 5714235699)

✅

NPI Profile Active August 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2012

Registered at 8503 ARLINGTON BOULEVARD #310, NORTHERN VIRGINIA UROLOGY, PLLC, FAIRFAX, VA 22031 (Tel: 7032084200)

📍

Updated Business Mailing Address August 06, 2012

Registered at 10301 DEMOCRACY LANE #410, NORTHERN VIRGINIA UROLOGY, PLLC, FAIRFAX, VA 22031 (Tel: 7038765942)

👤

Provider Name / Credentials Updated August 06, 2012

Recorded as BRETT HOLT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2012

Urology (License #0101252224 in VA)

🟢

Initial NPI Registration & Enumeration December 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609011329

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 09, 2008

Last Update: April 23, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 37174

Baltimore, MD 212973174

Phone: 5714235699

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.