Individual provider Active NPI

Bryan L Bing, DPT

  • Physical Therapist
  • Greenbelt, MD
National Provider Identifier
1093367377
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27561 Issued in MD
Practice address
7500 Hanover Pkwy Ste 103
Greenbelt, MD 20770-2011
Phone
(301) 446-1644
Fax
(301) 446-1647
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 27561 MD Primary

Addresses

Primary practice location

7500 Hanover Pkwy Ste 103
Greenbelt, MD 20770-2011

Mailing address

17902 Georgia Ave Ste 220
Olney, MD 20832-2279
Phone (240) 774-0222

Other identifiers 1

IdentifierTypeStateIssuer
834602000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829000218 DC Practitioner - Physical Therapist in Private Practice 8022346097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Physical TherapyGroup PAC ID 2567763667, 2 clinicians

Practice addresses (Care Compare)

10750 Columbia Pike
Suite 310
Silver Spring, MD 20901-4453
Phone (301) 658-6353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27561MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaddegh Physical Therapy Inc. Single Specialty CurrentSince Oct 13, 2019 Accepting new patients
Focused Physical Therapy Single Specialty CurrentSince Sep 26, 2020 Accepting new patients
Mosaddegh Physical Therapy Inc Single Specialty CurrentSince Jul 22, 2019 Accepting new patients
Focused Physical Therapy CurrentSince Sep 26, 2020 Accepting new patients

Locations

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

17902 Georgia Ave
Ste 220
Olney, MD 20832

10750 Columbia Pike
Ste 310
Silver Spring, MD 20901
Phone (301) 658-6353

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1093367377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE STE 220",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322279",
            "telephone_number": "240-774-0222",
            "fax_number": "240-774-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY STE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702011",
            "telephone_number": "301-446-1644",
            "fax_number": "301-446-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BING",
        "first_name": "BRYAN",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834602000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.