NPIMap

Individual provider Active NPI

Michael Ray Behre, MD

  • Family Medicine Physician
  • Middletown, MD
National Provider Identifier
1043215494
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D16939 Issued in MD
Practice address
300 S Church St
Middletown, MD 21769-8043
Phone
(301) 371-9000
Fax
(301) 371-8905
NPI assigned
Jun 14, 2005
Last updated
Oct 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D16939 MD Primary

Addresses

Primary practice location

300 S Church St
Middletown, MD 21769-8043

Mailing address

PO Box 20
Middletown, MD 21769-0020
Phone (301) 371-9000

Other identifiers 9

IdentifierTypeStateIssuer
814438OtherMDMAMSI LIFE & HEALTH #
010038096OtherMDMEDICARE RAILROAD #
81692258OtherMDINFORMED #
H9310002OtherMDBCBS NCA #
0100074OtherMDUNITED HEALTHCARE #
309841900MedicaidMD
41077101OtherMDBCBS MD PROVIDER #
4141242OtherMDAETNA #
521189978OtherMDCIGNA #

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1043215494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217690020",
            "telephone_number": "301-371-9000",
            "fax_number": "301-371-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S CHURCH ST",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698043",
            "telephone_number": "301-371-9000",
            "fax_number": "301-371-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRE",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D16939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE & HEALTH #",
            "identifier": "814438",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "010038096",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED #",
            "identifier": "81692258",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NCA #",
            "identifier": "H9310002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE #",
            "identifier": "0100074",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309841900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD PROVIDER #",
            "identifier": "41077101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA #",
            "identifier": "4141242",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA #",
            "identifier": "521189978",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.