NPIMap

Organization Active NPI

Manuel Roman MD PA

  • Psychiatry Physician
  • Bowie, MD
National Provider Identifier
1134333966
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D09630 Issued in MD
Legal business name
MANUEL ROMAN MD PA
Practice address
12625 Safety Turn
Bowie, MD 20715
Phone
(301) 809-3334
Fax
(301) 262-9610
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Manuel W Roman, MD
Title
Owner
Phone
(301) 809-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D09630 MD Primary

Addresses

Primary practice location

12625 Safety Turn
Bowie, MD 20715

Mailing address

12625 Safety Turn
Bowie, MD 20715
Phone (301) 809-3334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1134333966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 SAFETY TURN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "301-809-3334",
            "fax_number": "301-262-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 SAFETY TURN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "301-809-3334",
            "fax_number": "301-262-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL ROMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-809-3334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D09630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.