Provider Demographics
NPI:1710944913
Name:BRINSFIELD, KATHRYN H (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:H
Last Name:BRINSFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10540 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2426
Mailing Address - Country:US
Mailing Address - Phone:301-949-0030
Mailing Address - Fax:301-949-0033
Practice Address - Street 1:10540 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2426
Practice Address - Country:US
Practice Address - Phone:301-949-0030
Practice Address - Fax:301-949-0033
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2018-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0069139207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
930102187Medicare PIN
MD168650ZAYJMedicare PIN
MD168650ZAYJMedicare PIN
MAG07271Medicare UPIN
MAJ31223OtherBCBS
MA757899OtherTUFTS
930102187Medicare PIN