NPIMap

Organization Active NPI

Chesapeake Digestive Associates, PC

  • Gastroenterology Physician
  • Gambrills, MD
National Provider Identifier
1124857214
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CHESAPEAKE DIGESTIVE ASSOCIATES, PC
Practice address
2401 Brandermill Blvd Ste 330
Gambrills, MD 21054-1604
Phone
(410) 224-4887
NPI assigned
Jul 29, 2024
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Alan Oliver, CEO
Title
Ceo
Phone
(786) 530-3820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

2401 Brandermill Blvd Ste 330
Gambrills, MD 21054-1604

Mailing address

2401 Brandermill Blvd Ste 330
Gambrills, MD 21054-1604
Phone (410) 224-4887

Other names 1

  • MD002G Other name

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Digestive Associates PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2401 Brandermill Blvd
Ste 330
Gambrills, MD 21054
Phone (410) 224-4887

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1124857214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD STE 330",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541604",
            "telephone_number": "410-224-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD STE 330",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541604",
            "telephone_number": "410-224-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE DIGESTIVE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-530-3820",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD002G",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MD002G",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.