NPIMap

Organization Active NPI

Richard Bombach

  • Primary Care Clinic/Center
  • Cockeysville, MD
National Provider Identifier
1306156591
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D34300 Issued in MD
Legal business name
RICHARD BOMBACH
Practice address
10 Warren Road Suite 250
Cockeysville, MD 21030-2506
Phone
(410) 683-0572
NPI assigned
Oct 21, 2010
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Dr. Richard Bombach, MDNPI 1851495410
Title
MD
Phone
(410) 683-0572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D34300 MD Primary

Addresses

Primary practice location

10 Warren Road Suite 250
Cockeysville, MD 21030-2506

Mailing address

10 Warren Road Suite 250
Cockeysville, MD 21030-2506

National Provider Directory

National Provider Directory

Locations

10 Warren Rd
Ste 250
Cockysvil, MD 21030
Phone (410) 683-0572

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1306156591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WARREN ROAD SUITE 250",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WARREN ROAD SUITE 250",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302506",
            "telephone_number": "410-683-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD BOMBACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BOMBACH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "410-683-0572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D34300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.