Individual provider Active NPI

Christopher Thomas Bednarek, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Nottingham, MD
National Provider Identifier
1144512161
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D80197 Issued in MD
Practice address
8100 Sandpiper Cir
Suite 210
Nottingham, MD 21236-4991
Phone
(443) 693-7246
NPI assigned
May 10, 2011
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Physical Medicine & Rehabilitation Physician 208100000X MD456310 PA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D80197 MD Primary

Addresses

Primary practice location

8100 Sandpiper Cir
Suite 210
Nottingham, MD 21236-4991

Mailing address

2 Park Center CT
Suite 200
Owings Mills, MD 21117-4295
Phone (443) 693-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170120002551 MD Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 3173763380 Reassigns benefits to 1 organization
I20190710002345 DC Practitioner - Pain Management 3173763380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1576 Merritt Blvd
Dundalk, MD 21222-2132
Phone (410) 571-2946

19801 Observation Dr
Germantown, MD 20876-4070
Phone (443) 693-7246

2405 York Rd
Suite 200
Timonium, MD 21093-2252
Phone (855) 527-7246

810 Bestgate Rd
Suite 220
Annapolis, MD 21401-3648
Phone (410) 571-2946

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456310PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Sep 14, 2017 Accepting new patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Sep 14, 2017 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

1576 Merritt Blvd
Ste 18
Dundalk, MD 21222
Phone (443) 530-9750

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

8100 Sandpiper Cir
Ste 210
Nottingham, MD 21236

8100 Sandpiper Cir
Ste 214
Nottingham, MD 21236
Phone (443) 442-0500

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

6569 N Charles St
Ste 500
Towson, MD 21204
Phone (410) 296-6090

Interoperability endpoints

  • Direct secure messaging: christopher.bednarek.3@11679.direct.athenahealth.com

Organizations & group practices 3

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1144512161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK CENTER CT",
            "address_2": "SUITE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174295",
            "telephone_number": "443-693-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SANDPIPER CIR",
            "address_2": "SUITE 210",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364991",
            "telephone_number": "443-693-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAREK",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD456310",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D80197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.