Bodyworks Medical

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BODYWORKS MEDICAL

Practice address

St. Agnes Medical Center
3455 Wilkens Ave Suite 100
Baltimore, MD 21229

Phone

(240) 447-8036

NPI assigned

Mar 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Sherman Ragland, MDNPI 1912145707

Title

President

Phone

(240) 448-3279

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Phillip Sherman Ragland, MD

  • General Practice Physician
  • Baltimore, MD
  • NPI 1912145707
  NPD Authorized official

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1265068373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13013 DAVENPORT DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135683",
            "telephone_number": "202-270-7542",
            "fax_number": "240-213-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. AGNES MEDICAL CENTER",
            "address_2": "3455 WILKENS AVE SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "240-447-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "RAGLAND",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-448-3279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "968419100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Bodnar, PH.D.
• Sarah Erwin Bodnar, PT
• Christopher Edward Bodurian, MD
• Joann N Bodurtha, M.D.
• Body Repairs, LLC
• Stefanie Brooke Boecher, PA-C
• Shira Boehm
• Eric W Boelter, PHD
• Denise Boemmel, R.N.
• Ava Boeren

• Multi-Specialty Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

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