Individual provider Active NPI

Melinda Berna Batman, M.D.

  • Pediatrics Physician
  • Andrews Afb, MD
National Provider Identifier
1164570701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-31381 Issued in KS
Practice address
1058 W. Perimeter Road
MGMC - Pediatric Clinic
Andrews Afb, MD 20762-6602
Phone
(240) 857-2723
Fax
(240) 857-6263
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-31381 KS Primary

Addresses

Primary practice location

1058 W. Perimeter Road
MGMC - Pediatric Clinic
Andrews Afb, MD 20762-6602

Mailing address

544 Colecroft CT
Alexandria, VA 22314-2174
Phone (703) 717-9086

Other names 1

  • Dr. Melinda Berna Downey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-31381KSMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164570701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 COLECROFT CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142174",
            "telephone_number": "703-717-9086",
            "fax_number": "240-857-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 W. PERIMETER ROAD",
            "address_2": "MGMC - PEDIATRIC CLINIC",
            "city": "ANDREWS AFB",
            "state": "MD",
            "postal_code": "207626602",
            "telephone_number": "240-857-2723",
            "fax_number": "240-857-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATMAN",
        "first_name": "MELINDA",
        "middle_name": "BERNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-31381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "DOWNEY",
            "middle_name": "BERNA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andrews Afb, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.