Individual provider Active NPI

Bernard Willis Parker, MD

  • Medical Oncology Physician
  • Burtonsville, MD
National Provider Identifier
1073136693
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD20055 Issued in DC
Practice address
15239 Briarcliff Manor Way
Burtonsville, MD 20866-1662
Phone
(301) 421-0026
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD20055 DC
Medical Oncology Physician 207RX0202X MD20055 DC Primary

Addresses

Primary practice location

15239 Briarcliff Manor Way
Burtonsville, MD 20866-1662

Mailing address

15239 Briarcliff Manor Way
Burtonsville, MD 20866-1662
Phone (301) 421-0026

Other practice location 1

Nih Nci Clinical Center Building 10 10 Center Drive
Bethesda, MD 20892-0001
Phone (240) 276-5533

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

State licenses

LicenseStateTypeSpecialty
MD20055DCMDMedical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1073136693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15239 BRIARCLIFF MANOR WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661662",
            "telephone_number": "301-421-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15239 BRIARCLIFF MANOR WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661662",
            "telephone_number": "301-421-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Nih Nci Clinical Center Building 10 10 Center Drive",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208920001",
            "country_code": "US",
            "telephone_number": "240-276-5533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BERNARD",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD20055",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "DC",
            "license": "MD20055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.