Active NPI
P.G. Builders, Inc.
- Home Modifications Contractor
- Bethesda, MD
National Provider Identifier
1306282272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 20739
- Legal business name
- P.G. BUILDERS, INC.
- Practice address
- 7805 Old Georgetown Rd Ste 203
Bethesda, MD 20814-2460 - Phone
- (301) 346-1902
- Fax
- (301) 470-2832
- NPI assigned
- May 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryan Joseph Kebeck
- Title
- Vice President
- Phone
- (301) 346-1902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 20739 | VA | Primary |
Addresses
Primary practice location
7805 Old Georgetown Rd Ste 203
Bethesda, MD 20814-2460
Mailing address
8044 Savage Guilford Rd
Jessup, MD 20794-9674
Phone (301) 346-1902
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9802011-00 | Medicaid | MD | |
| 5982011-00 | Other | MD | NPI # OLDER ADULTS |
| 980200200 | Other | MD | LIVING AT HOME PROVIDER # |
National Provider Directory
National Provider DirectoryLocations
7805 Old Georgetown Rd
Ste 203
Bethesda, MD 20814
Phone (301) 346-1902
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Jessup, MD
- NPI 1003243270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368748800000",
"number": "1306282272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8044 SAVAGE GUILFORD RD",
"city": "JESSUP",
"state": "MD",
"postal_code": "207949674",
"telephone_number": "301-346-1902",
"fax_number": "301-470-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7805 OLD GEORGETOWN RD STE 203",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142460",
"telephone_number": "301-346-1902",
"fax_number": "301-470-2832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P.G. BUILDERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-17",
"last_updated": "2013-05-17",
"status": "A",
"authorized_official_last_name": "KEBECK",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "301-346-1902",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": "VA",
"license": "20739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9802011-00",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI # OLDER ADULTS",
"identifier": "5982011-00",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIVING AT HOME PROVIDER #",
"identifier": "980200200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.