Provider Demographics
NPI:1033276720
Name:POSSNER, ADAM BRADLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BRADLEY
Last Name:POSSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 ROCKVILLE PIKE STE 1015
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3074
Mailing Address - Country:US
Mailing Address - Phone:301-941-4414
Mailing Address - Fax:301-941-4404
Practice Address - Street 1:11300 ROCKVILLE PIKE STE 1015
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3074
Practice Address - Country:US
Practice Address - Phone:301-941-4414
Practice Address - Fax:301-941-4404
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD68960207R00000X
DCMD038631207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD023695100Medicaid
MD164784Y82Medicare PIN