NPIMap

Organization Active NPI

Greater Baltimore Medical Center, Inc.

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1013739382
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GREATER BALTIMORE MEDICAL CENTER, INC.
Practice address
6565 N Charles St Ste 501
Baltimore, MD 21204-5802
Phone
(443) 849-4800
NPI assigned
Oct 29, 2024
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Campbell
Title
Interim Evp & Cfo
Phone
(443) 849-3844

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Surgery Physician 208600000X NU Primary
Vascular Surgery Physician 2086S0129X NU
Colon & Rectal Surgery Physician 208C00000X NU

Addresses

Primary practice location

6565 N Charles St Ste 501
Baltimore, MD 21204-5802

Mailing address

6701 N. Charles Street
S. Chapman Building, Suite 102
Baltimore, MD 21204

Other practice location 1

6565 N Charles St Ste 501
Baltimore, MD 21204-5802
Phone (443) 849-3779

Other practice location 2

6565 N Charles St Ste 501
Baltimore, MD 21204-5802
Phone (443) 849-3130

Other names 1

  • GBMC PPE ZIP 21204-5802 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000852 MD Part B Supplier - Clinic/Group Practice 1759276975 Receives reassigned benefits from 513 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
GBMC Inc Cardiology80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

63 E Padonia Rd
Timonium, MD 21093
Phone (443) 589-5252

63 E Padonia Rd
Ste 100
Timonium, MD 21093
Phone (443) 589-5252

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1013739382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N. CHARLES STREET",
            "address_2": "S. CHAPMAN BUILDING, SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 501",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045802",
            "telephone_number": "443-849-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 N Charles St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212045802",
            "country_code": "US",
            "telephone_number": "443-849-3779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 N Charles St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212045802",
            "country_code": "US",
            "telephone_number": "443-849-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER BALTIMORE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "INTERIM EVP & CFO",
        "authorized_official_telephone_number": "443-849-3844"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GBMC PPE ZIP 21204-5802",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.