Organization Active NPI

P.G. Builders, Inc.

  • Home Modifications Contractor
  • Bethesda, MD
National Provider Identifier
1306282272
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
20739 Issued in VA
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

Updated by the provider on May 17, 2013

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)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9802011-00MedicaidMD
5982011-00OtherMDNPI # OLDER ADULTS
980200200OtherMDLIVING AT HOME PROVIDER #

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.