IndividualActive
Brian Diller, PA-C
NPI 1558746586 · Surgical Physician Assistant · Baltimore, MD
Provider details
- NPI number
- 1558746586
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- C0005837 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
201 E University Pkwy
Baltimore, MD 21218-2829
Phone: (443) 690-5751
Approximate (ZIP-level) locationGet directions
Mailing address
201 E University Pkwy
Baltimore, MD 21218-2829
Registry dates
- Enumerated
- 2015-07-20
- Last updated
- 2015-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.