Organization Active NPI

Dr Julian N Sober PA

  • Podiatrist
  • Glen Burnie, MD
National Provider Identifier
1063406395
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DR JULIAN N SOBER PA
Practice address
420 Crain Hwy S
Suite #2
Glen Burnie, MD 21061-3657
Phone
(410) 768-4300
Fax
(410) 768-4301
NPI assigned
Sep 1, 2005
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Julian N Sober, DPMNPI 1245224575
Title
President
Phone
(410) 768-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD Primary

Addresses

Primary practice location

420 Crain Hwy S
Suite #2
Glen Burnie, MD 21061-3657

Mailing address

420 Crain Hwy S
Suite #2
Glen Burnie, MD 21061-3657
Phone (410) 768-4300

National Provider Directory

National Provider Directory

Locations

420 Crain Hwy S
Ste 2
Glen Burnie, MD 21061
Phone (410) 582-8170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1063406395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CRAIN HWY S",
            "address_2": "SUITE #2",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613657",
            "telephone_number": "410-768-4300",
            "fax_number": "410-768-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CRAIN HWY S",
            "address_2": "SUITE #2",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613657",
            "telephone_number": "410-768-4300",
            "fax_number": "410-768-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JULIAN N SOBER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "SOBER",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-768-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.