DR. BRENT ERIC TABOR DPM NPI 1841276037

NPI Information

  • NPI: 1841276037
  • Provider Name: DR. BRENT ERIC TABOR, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 702 RUSSELL AVE
    SUITE 103
    GAITHERSBURG, MD
    ZIP 20877
  • Phone: (301) 948-3668

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NPI Details

DR. Brent Eric Tabor, DPM is a foot and ankle surgery podiatrist in Gaithersburg, MD with 34 years of experience. DR. Brent Eric Tabor, DPM NPI is 1841276037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1992

The provider's business location address is:

702 RUSSELL AVE
SUITE 103
GAITHERSBURG, MD
ZIP 20877-606
Phone: (301) 948-3668

The NPI 1841276037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Injection into tendon or ligament (HCPCS:20550)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)

The enumeration date for this NPI number is 12/19/2005 and was last updated on 2/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery01195MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1218838400MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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