Dr. Bamba'S Health and Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DR. BAMBA'S HEALTH AND MEDICAL CENTER

Practice address

1406B Crain Hwy S Ste 308
Glen Burnie, MD 21061-4094

Phone

(443) 953-8255

NPI assigned

Mar 14, 2023

Organization subpart

No

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

Authorized official

Name

N'Dama Bamba, MDNPI 1275856163

Title

Owner/Provider

Phone

(443) 953-8255

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• N'Dama M Bamba

  • General Practice Physician
  • Glen Burnie, MD
  • NPI 1275856163
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1063113397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406B CRAIN HWY S STE 308",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614094",
            "telephone_number": "443-953-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406B CRAIN HWY S STE 308",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614094",
            "telephone_number": "443-953-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BAMBA'S HEALTH AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "BAMBA",
        "authorized_official_first_name": "N'DAMA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "443-953-8255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73005931",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1275856163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin J Doyle, MD
• Dr Allan D Schulman PC
• Dr Julian N Sober PA
• Dr Samuel D Beitler PA
• Dr Samuel D Beitler PA
• Dr. Christina Enzmann LLC
• Dr. Geoffrey H. Saunders, P.a.
• Dr. Shelley Woody, LLC
• Dr.Alif Manejwala
• Brian Keith Dragan, DCM

• Primary Care Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.