Active NPI
Berkeley Wellness Associates
- Health Service Clinic/Center
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 02187
- Legal business name
- BERKELEY WELLNESS ASSOCIATES
- Practice address
- 3327 Superior LN
Suite 204
Bowie, MD 20715-1922 - Phone
- (301) 860-0288
- NPI assigned
- Mar 1, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn Bradford Berkeley, D.C
- Title
- Ceo
- Phone
- (240) 476-5684
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 02187 | MD | Primary |
Addresses
Primary practice location
3327 Superior LN
Suite 204
Bowie, MD 20715-1922
Mailing address
1922 Cambridge Dr
Crofton, MD 21114-1908
Phone (410) 721-2714
National Provider Directory
National Provider DirectoryLocations
3327 Superior Ln
Ste 204
Bowie, MD 20715
Phone (301) 352-6200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Bowie, MD
- NPI 1568599751
-
- Chiropractor
- Bowie, MD
- NPI 1881977577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154459949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 CAMBRIDGE DR",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141908",
"telephone_number": "410-721-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 SUPERIOR LN",
"address_2": "SUITE 204",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151922",
"telephone_number": "301-860-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKELEY WELLNESS ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERKELEY",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "BRADFORD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-476-5684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MD",
"license": "02187",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.