NPIMap

Organization Active NPI

John E Bubser DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Landover, MD
National Provider Identifier
1205016169
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01202 Issued in MD
Legal business name
JOHN E BUBSER DPM PA
Practice address
8700 Central Ave
Suite 105
Landover, MD 20785-4831
Phone
(301) 499-3338
Fax
(301) 499-1266
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
John Bubser Jr., DPMNPI 1184763583
Title
President
Phone
(301) 499-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01202 MD Primary

Addresses

Primary practice location

8700 Central Ave
Suite 105
Landover, MD 20785-4831

Mailing address

8700 Central Ave
Suite 105
Landover, MD 20785-4831
Phone (301) 499-3338

Other names 1

  • JOHN BUBSER DPM PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060207000272 MD Part B Supplier - Clinic/Group Practice 4789678889 Receives reassigned benefits from 2 practitioners
Practice locations: Dunkirk, MD
O20100918000166 DC Part B Supplier - Clinic/Group Practice 4789678889 Receives reassigned benefits from 3 practitioners
Practice locations: Landover, MD
O20100930086422 MD DME Supplier - Physician - PodiatryDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 4789678889 1 other NPI on this enrollment
Practice locations: Dunkirk, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
John Bubser DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10264 Southern Maryland Blvd
Ste 105
Dunkirk, MD 20754
Phone (410) 257-3558

10264 Southern Maryland Blvd
#B
Dunkirk, MD 20754

8700 Central Ave
Ste 105
Landover, MD 20785
Phone (301) 499-3338

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1205016169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE",
            "address_2": "SUITE 105",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854831",
            "telephone_number": "301-499-3338",
            "fax_number": "301-499-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE",
            "address_2": "SUITE 105",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854831",
            "telephone_number": "301-499-3338",
            "fax_number": "301-499-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E BUBSER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BUBSER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-499-3338",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN BUBSER DPM PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.