Active NPI
Deborah Bushrod, M.D.
- Obstetrics & Gynecology Physician
- Clinton, MD
National Provider Identifier
1265422380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0033021
- Practice address
- 7501 Surratts Rd Ste 207
Clinton, MD 20735 - Phone
- (301) 868-2300
- Fax
- (301) 856-1964
- NPI assigned
- Oct 28, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0033021 | MD | Primary |
Addresses
Primary practice location
7501 Surratts Rd Ste 207
Clinton, MD 20735
Mailing address
8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339
Other practice location 1
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 870-7001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deborah.bushrod.p1@direct.cwcare.nextgenshare.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0033021 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Maryland Professional Rad | Past | Accepting new patients | |
| Southern Radiology MRI Partnership | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Clinton, MD
- NPI 1922009968
-
dba MRI of Maryland
- Diagnostic Radiology Physician
- Clinton, MD
- NPI 1568463594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1265422380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 MAPLE LAWN BLVD STE 235",
"city": "FULTON",
"state": "MD",
"postal_code": "207592694",
"telephone_number": "301-340-8339",
"fax_number": "301-340-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 SURRATTS RD STE 207",
"city": "CLINTON",
"state": "MD",
"postal_code": "20735",
"telephone_number": "301-868-2300",
"fax_number": "301-856-1964"
}
],
"practiceLocations": [
{
"address_1": "7503 Surratts Rd",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MD",
"postal_code": "207353358",
"country_code": "US",
"telephone_number": "301-870-7001",
"fax_number": "301-870-6697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSHROD",
"first_name": "DEBORAH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2021-05-24",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0033021",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deborah.bushrod.p1@direct.cwcare.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7501 Surratts Rd Ste 207",
"city": "Clinton",
"state": "MD",
"country_code": "US",
"postal_code": "20735",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.