Build Fellowship, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BUILD FELLOWSHIP, INC.

Practice address

2114 N Charles St
Suite 100
Baltimore, MD 21218-5765

Phone

(410) 528-0305

Fax

(410) 528-0316

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Sylvester Peterka

Title

Chairperson

Phone

(410) 528-0305

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225043763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N CHARLES ST",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185765",
            "telephone_number": "410-528-0305",
            "fax_number": "410-528-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N CHARLES ST",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185765",
            "telephone_number": "410-528-0305",
            "fax_number": "410-528-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILD FELLOWSHIP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERKA",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "410-528-0305"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quang Ha Dang Bui
• Toan Song Bui
• Melissa K Buick, M.D.
• Egypt Rejoni Buie, LCPC
• Samyra Nikole Buie
• Building Blocks Healthcare Network LLC
• Building Blocks Healthcare Network LLC
• Building Blocks Healthcare Network LLC
• Building Bridges of Baltimore, LLC
• Building Bridges of Baltimore, LLC

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.