NPIMap

Organization Active NPI

Bay Area Neurology,LLC

  • Specialist
  • Annapolis, MD
National Provider Identifier
1063563203
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D37246 Issued in MD
Legal business name
BAY AREA NEUROLOGY,LLC
Practice address
2002 Medical Pkwy
Suite #430
Annapolis, MD 21401-3046
Phone
(410) 266-2740
Fax
(410) 266-2753
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Larry W Blum, M.D.
Title
Owner Physician Manager
Phone
(410) 266-2740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D37246 MD Primary

Addresses

Primary practice location

2002 Medical Pkwy
Suite #430
Annapolis, MD 21401-3046

Mailing address

2002 Medical Pkwy
Suite #430
Annapolis, MD 21401-3046
Phone (410) 266-2740

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1063563203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE #430",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-266-2740",
            "fax_number": "410-266-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE #430",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-266-2740",
            "fax_number": "410-266-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA NEUROLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PHYSICIAN MANAGER",
        "authorized_official_telephone_number": "410-266-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D37246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.