Individual provider Active NPI

Terrence Alan Bidnick, M. D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Greenbelt, MD
National Provider Identifier
1306157854
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
D0036283 Issued in MD
Practice address
Code 250 9
Goddard Space Flight Center
Greenbelt, MD 20771-0001
Phone
(301) 286-6666
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X D0036283 MD Primary

Addresses

Primary practice location

Code 250 9
Goddard Space Flight Center
Greenbelt, MD 20771-0001

Mailing address

Code 250 9
Goddard Space Flight Center
Greenbelt, MD 20771-0001
Phone (301) 286-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0036283MDMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1306157854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CODE 250 9",
            "address_2": "GODDARD SPACE FLIGHT CENTER",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207710001",
            "telephone_number": "301-286-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CODE 250 9",
            "address_2": "GODDARD SPACE FLIGHT CENTER",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207710001",
            "telephone_number": "301-286-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDNICK",
        "first_name": "TERRENCE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MD",
            "license": "D0036283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.