Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Type 1 Individual Provider

Exclusive Provider Organization in Silver Spring, MD · enumerated 2009 · authorized official Brena Gibson, Human Resources Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952543191

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Type 1 Individual Provider

Other name <Unavail>

Practice address 1620 Elton Rd, Silver Spring, MD, 20903

Phone (301) 439-7191

Enumeration date Apr 2, 2009

Last updated in NPPES Apr 8, 2009

Taxonomy & classification

302F00000X Exclusive Provider Organization Managed Care Organizations · License LC2381 (MD) Primary

Authorized official

Name Brena Gibson

Title Human Resources Director

Phone (301) 439-7191

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-04-08. Verify at npiregistry.cms.hhs.gov.

Where is Type 1 Individual Provider located?

The practice location on file with NPPES is in Silver Spring, MD.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-08.