Active NPI
Louis Bland, M.D.
- Pediatrics Physician
- Laurel, MD
National Provider Identifier
1265412043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D27877
- Practice address
- 9811 Mallard Dr
Suite 109
Laurel, MD 20708-3143 - Phone
- (301) 776-8000
- Fax
- (301) 776-8052
- NPI assigned
- Jan 18, 2006
- Last updated
- Aug 20, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D27877 | MD | Primary |
Addresses
Primary practice location
9811 Mallard Dr
Suite 109
Laurel, MD 20708-3143
Mailing address
9811 Mallard Dr
Suite 109
Laurel, MD 20708-3143
Phone (301) 776-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
9811 Mallard Dr
Ste 109
Laurel, MD 20708
Phone (301) 776-8000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1265412043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 MALLARD DR",
"address_2": "SUITE 109",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083143",
"telephone_number": "301-776-8000",
"fax_number": "301-776-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 MALLARD DR",
"address_2": "SUITE 109",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083143",
"telephone_number": "301-776-8000",
"fax_number": "301-776-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D27877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.