NPIMap

Organization Active NPI

Bay River Primary Care PC

  • Family Medicine Physician
  • Chestertown, MD
National Provider Identifier
1295765956
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAY RIVER PRIMARY CARE PC
Practice address
120 Speer Rd
BLDG B
Chestertown, MD 21620-1044
Phone
(410) 778-9300
Fax
(410) 778-9579
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Karen Ferguson
Title
Corporate Vice President
Phone
(443) 510-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

120 Speer Rd
BLDG B
Chestertown, MD 21620-1044

Mailing address

120 Speer Rd BLDG B
Chestertown, MD 21620-1044
Phone (410) 778-9300

Other identifiers 1

IdentifierTypeStateIssuer
054600300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000099 MD Part B Supplier - Clinic/Group Practice 3476445396 Receives reassigned benefits from 9 practitioners
Practice locations: Chestertown, MD

National Provider Directory

National Provider Directory

Locations

120 Speer Rd
Bldg B
Chestertown, MD 21620
Phone (410) 778-9300

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1295765956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SPEER RD BLDG B",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201044",
            "telephone_number": "410-778-9300",
            "fax_number": "410-778-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SPEER RD",
            "address_2": "BLDG B",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201044",
            "telephone_number": "410-778-9300",
            "fax_number": "410-778-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIVER PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CORPORATE VICE PRESIDENT",
        "authorized_official_telephone_number": "443-510-7799"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054600300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.