Active NPI
Bernice Burroughs, LMT
- Massage Therapist
- Solomons, MD
National Provider Identifier
1003262171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M05618
- Practice address
- 90 Holiday Drive, Suite D3
Solomons, MD 20688 - Phone
- (410) 474-4841
- NPI assigned
- May 9, 2016
- Last updated
- May 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M05618 | MD | Primary |
Addresses
Primary practice location
90 Holiday Drive, Suite D3
Solomons, MD 20688
Mailing address
4650 Hallowing Point Rd
Prince Frederick, MD 20678-3433
Phone (410) 474-4841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M05618 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1003262171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 HALLOWING POINT RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783433",
"telephone_number": "410-474-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 HOLIDAY DRIVE, SUITE D3",
"city": "SOLOMONS",
"state": "MD",
"postal_code": "20688",
"telephone_number": "410-474-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "BERNICE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M05618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Solomons, MD
- Baca Chiropractic Services
- William F Baca, DC
- Benner Medical Group PA
- Charles Myron Benner, MD
- Louis Steven Berns, LCSW C
- Laurel Cahill, IBCLC
- Calverthealth Medical Center, Inc. (CalvertHealth Urgent Care Solomons)
- Calverthealth Medical Center, Inc. (CalvertHealth Solomons Imaging Center)
- Calverthealth Medical Center, Inc. (CalvertHealth Outpatient Rehabilitation Solomons)
- Calverthealth Medical Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.