Individual provider Active NPI

Jennifer L Bepple, MD

  • Urology Physician
  • Columbia, MD
National Provider Identifier
1104087584
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0069291 Issued in MD
Practice address
10710 Charter Dr.
Suite 130
Columbia, MD 21044-3128
Phone
(410) 772-7000
Fax
(410) 772-7089
NPI assigned
Jun 19, 2008
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01096822A IN
Urology Physician 208800000X D0069291 MD Primary
Urology Physician 208800000X 1026692 MD

Addresses

Primary practice location

10710 Charter Dr.
Suite 130
Columbia, MD 21044-3128

Mailing address

25 Crossroads Drvie
Suite 306
Owings Mills, MD 21117
Phone (443) 738-2872

Other practice location 1

11123 Parkview Plaza Dr Ste 102
Fort Wayne, IN 46845-1707
Phone (260) 425-5240

Other identifiers 1

IdentifierTypeStateIssuer
078400100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091204000595 MD Practitioner - Urology 6800935735 Reassigns benefits to 2 organizations
I20211102000590 DC Practitioner - Urology 6800935735 Reassigns benefits to 1 organization
I20260501003391 IN Practitioner - Urology 6800935735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Eastern Virginia Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01096822AINMDUrology Physician
1026692MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Chesapeake Urology Associates LLC Urology CurrentSince May 1, 2017 Accepting new patients
Chesapeake Urology Associates, LLC Urology CurrentSince Oct 1, 2021 Accepting new patients
Dry Days Health PC Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7704 Matapeake Business Dr
Ste 310
Brandywine, MD 20613
Phone (301) 645-8838

10710 Charter Dr
Columbia, MD 21044
Phone (410) 772-7000

10710 Charter Dr
Ste 130
Columbia, MD 21044
Phone (301) 725-8880

10710 Charter Dr
Ste 140
Columbia, MD 21044
Phone (301) 725-0986

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

606 Baltimore Ave
Ste 207
Towson, MD 21204
Phone (202) 813-9773

Interoperability endpoints

  • Direct secure messaging: jennifer.bepple@1083385994346500.direct.elationemr.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1104087584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DRVIE",
            "address_2": "SUITE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "443-738-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR.",
            "address_2": "SUITE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443128",
            "telephone_number": "410-772-7000",
            "fax_number": "410-772-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11123 Parkview Plaza Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451707",
            "country_code": "US",
            "telephone_number": "260-425-5240",
            "fax_number": "260-425-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEPPLE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01096822A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0069291",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "1026692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078400100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.