Bernard Fred Kozlovsky, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

D26473 Issued in MD

Practice address

3301 Lee CT
Baltimore, MD 21208-4402

Phone

(410) 218-5765

NPI assigned

Jul 20, 2009

Last updated

Jul 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1205066628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LEE CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084402",
            "telephone_number": "410-218-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LEE CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084402",
            "telephone_number": "410-218-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOVSKY",
        "first_name": "BERNARD",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D26473",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MD",
            "license": "D26473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Daniel Bevilacqua Kozarek
• Mary Jo Kozel, RN
• Michael Edward Kozik, M.D.
• Lloyd Steve Koziol
• Adriane Stein Kozlovsky, M.S., R.D., L.D.
• Alison Kozlowski, PH.D., BCBA-D
• Jennifer Kozycki, PHARMD
• KP Counseling Services, Inc.
• Sandra Kpodo, PA-C
• Cynthia Ann Krabill, M. S, CCC,SLP

• Public Health & General Preventive Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Public Health & General Preventive Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.