Mdics at BWMC LLC
Organization Active NPI Hospitalist Physician · Glen Burnie, MD
NPI 1306131578 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1306131578
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- MDICS AT BWMC LLC
- Practice address
- 301 Hospital Dr
Glen Burnie, MD 21061-5803 - Phone
- (410) 787-4000
- Fax
- (443) 949-0825
- NPI assigned
- Jun 15, 2011
- Organization subpart
- No
Authorized official
- Name
- Tim Delbrugge
- Title
- Cfo
- Phone
- (301) 693-8707
Practitioners 97
-
Harvinder Arora, MD
-
Claudiu Austin, MD
-
Colin Bonhag, DO
-
Allison Burke, CRNP
-
Claire Converse, PA
-
William Michael Copeland, MS, RN, CRNP, CEN
-
Margaret Elaine Delgado, CRNP
-
Raji George, CRNP
-
Cameron N Gilliard, M.D.
-
Idara Ibok, NP
-
Kattie Khadar, DNP, CRNP-FAMILY
-
David Lauver, MD
-
Michael T. Lawrence, M.D.
-
Dianne Annette London, CRNP
-
Karin Looper, NP
-
Michael Lucrezio, NP-C
-
Denny Paul Mathew, MBBS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120314000455 | MD | Part B Supplier - Clinic/Group Practice | 7315106184 |
Receives reassigned benefits from 95 practitioners Practice locations: Glen Burnie, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | MD | Yes |
Addresses
Primary practice location
301 Hospital Dr
Glen Burnie, MD 21061-5803
Mailing address
PO Box 69231
Baltimore, MD 21264-9231
Phone (443) 949-0814
Other providers in Glen Burnie, MD
- Denise Marie McKoy
- Quintasia D McLane
- Lucas McNally
- MD CHS Pharmacy Services, LLC
- MD Matt LLC
- Mdics Management LLC
- Mdics Rehabilitative Services LLC
- Mdics Rehabilitative Services LLC
- Mdics Transitional Care, LLC
- Allison Meade
All providers in Glen Burnie, MD · Hospitalist Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.