Bergina Brickhouse Isbell, MD
Psychiatry & Neurology, Psychiatry in Ellicott City, MD. Individual provider (NPI-1).
NPI number1861577553
StatusActive
Last updated in NPPESDec 23, 2022
Details
- NPI
- 1861577553
- Entity type
- Individual (NPI-1)
- Name
- Bergina Brickhouse Isbell
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2006
- Certification date
- Dec 23, 2022
- Last updated
- Dec 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | D83609 | MD | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 4301113664 | MI | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 49112 | MN | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD039796 | DC | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD437961 | PA | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | C150811 | CA |
Other names
- Berginia Lamonda Brickhouse (Other Name)
Practice location
3355 Saint Johns Ln Ste FEllicott City, MD 21042-2600
Phone 507-533-5433 · Fax 844-511-6928
Mailing address
Po Box 6500Columbia, MD 21045-6500
Phone 507-533-5441 · Fax 844-511-6928
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