Bowie Primary Care, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BOWIE PRIMARY CARE, INC

Practice address

4379 Northview Drive
Bowie, MD 20716

Phone

(301) 262-2627

Fax

(301) 262-8411

NPI assigned

Jan 3, 2008

Last updated

Mar 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mariam M Bahrami, M.D.NPI 1003912742

Title

Owner/Partner

Phone

(301) 262-2627

Specialties & licenses 2

Addresses

Other names 1

• Azar M Dashti MD PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Mariam McConnell Bahrami, M.D.

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1003912742

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1205011640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 NORTHVIEW DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-262-2627",
            "fax_number": "301-262-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 NORTHVIEW DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-262-2627",
            "fax_number": "301-262-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWIE PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "BAHRAMI",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "301-262-2627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azar M Dashti MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bowie Optometric Group
• Bowie Oral and Facial Surgery Center Inc. (Bowie Oral Surgery)
• Bowie Orthodontics LLC (Bowie Braces)
• Bowie Pharmacy Inc
• Bowie Physical Therapy Associates Inc
• Bowie Psychiatric Professional Associate LLC
• Bowie Sleep & Wellness Diagnostics LLC
• Bowie Sleep and Wellness
• Bowie State University
• Bowie Therapeutic Nursery Center, Inc.

• Pediatrics Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.