Active NPI
Malcolm Bland, CPRS, RPS
- Peer Specialist
- Baltimore, MD
National Provider Identifier
1003656943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- PR0687
- Practice address
- 8116 Harford Rd Ste 2B
Baltimore, MD 21234-5761 - Phone
- (410) 870-1011
- NPI assigned
- May 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | PR0687 | MD | Primary |
Addresses
Primary practice location
8116 Harford Rd Ste 2B
Baltimore, MD 21234-5761
Mailing address
2709 Hanson Ave Apt 2a
Baltimore, MD 21209-3997
Phone (443) 979-2823
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 |
|---|---|---|---|
| PR0687 | MD | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1003656943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 HANSON AVE APT 2A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093997",
"telephone_number": "443-979-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8116 HARFORD RD STE 2B",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212345761",
"telephone_number": "410-870-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "MALCOLM",
"credential": "CPRS, RPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MD",
"license": "PR0687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.