Active NPI
Bruce Rind
- Family Medicine Physician
- Gaithersburg, MD
National Provider Identifier
1194940866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0037186
- Practice address
- 800 South Frederick Avenue
Suite 212
Gaithersburg, MD 20877 - Phone
- (301) 921-4325
- Fax
- (301) 977-5630
- NPI assigned
- Apr 16, 2007
- Last updated
- Dec 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17137 | DC | |
| Family Medicine Physician | 207Q00000X | D0037186 | MD | Primary |
Addresses
Primary practice location
800 South Frederick Avenue
Suite 212
Gaithersburg, MD 20877
Mailing address
800 South Frederick Avenue
Suite 212
Gaithersburg, MD 20877
Phone (301) 921-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2012 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17137 | DC | MD | Family Medicine Physician |
| D0037186 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1194940866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SOUTH FREDERICK AVENUE",
"address_2": "SUITE 212",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "20877",
"telephone_number": "301-921-4325",
"fax_number": "301-977-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SOUTH FREDERICK AVENUE",
"address_2": "SUITE 212",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "20877",
"telephone_number": "301-921-4325",
"fax_number": "301-977-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIND",
"first_name": "BRUCE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD17137",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0037186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.