Active NPI
Julian Neal Sober, DPM
- Podiatrist
- Glen Burnie, MD
National Provider Identifier
1245224575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 256
- Practice address
- 420 Crain Hwy S
Suite #2
Glen Burnie, MD 21061-3657 - Phone
- (410) 768-4300
- Fax
- (410) 768-4301
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 256 | MD | Primary |
Addresses
Primary practice location
420 Crain Hwy S
Suite #2
Glen Burnie, MD 21061-3657
Mailing address
420 Crain Hwy S
Suite #2
Glen Burnie, MD 21061-3657
Phone (410) 768-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-135 | Other | MD | MEDICARE AND CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256 | MD | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1245224575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 CRAIN HWY S",
"address_2": "SUITE #2",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613657",
"telephone_number": "410-768-4300",
"fax_number": "410-768-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 CRAIN HWY S",
"address_2": "SUITE #2",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613657",
"telephone_number": "410-768-4300",
"fax_number": "410-768-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBER",
"first_name": "JULIAN",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE AND CAREFIRST",
"identifier": "T-135",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.