Provider Demographics
NPI:1104218858
Name:BRBM, LLC
Entity Type:Organization
Organization Name:BRBM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-834-0041
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21738-0275
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2001 MEADOW TREE CT
Practice Address - Street 2:
Practice Address - City:COOKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21723-9500
Practice Address - Country:US
Practice Address - Phone:410-834-0041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Single Specialty