Provider Demographics
NPI:1285636217
Name:HARVEY, BRIAN E (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:E
Last Name:HARVEY
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:PO BOX 64916
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4916
Mailing Address - Country:US
Mailing Address - Phone:410-216-6481
Mailing Address - Fax:410-280-6515
Practice Address - Street 1:2001 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3280
Practice Address - Country:US
Practice Address - Phone:443-481-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043163207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
58249OtherAMERIGROUP - AMERICAID
AH01OtherENVOY SITE ID
1285636217OtherNPI NUMBER
0039732900OtherFEDERAL BLACK LUNG BENEFITS
104772200OtherUS DEPT OF LABOR-WORKERS COMP
521169362OtherMULTIPLAN
E89417OtherUPIN
0008OtherBCBS-DC
MD186581100Medicaid
52595605OtherBCBS-MD
689L647YOtherWELLCARE
7101812OtherAETNA / US HEALTHCARE
1228551OtherAETNA/US HEALTHCARE HMO
521169362OtherKAISER PERMANENTE
D43163OtherMEDICAL LICENSE
110188892OtherRAILROAD MEDICARE-PALMETTO
521169362OtherAMERICHOICE
7128707OtherMAMSI
7101812OtherAETNA / US HEALTHCARE