NPIMap

Organization Active NPI

Bethesda ENT Allergy Center, LLC

  • Medical Specialty Clinic/Center
  • Bethesda, MD
National Provider Identifier
1306975461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D0043074 Issued in MD
Legal business name
BETHESDA ENT ALLERGY CENTER, LLC
Practice address
4550 Montgomery Ave
Suite 733N
Bethesda, MD 20814-3304
Phone
(301) 656-6452
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James C. Piepergerdes, MDNPI 1043285737
Title
Manager
Phone
(202) 360-0525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D0043074 MD Primary

Addresses

Primary practice location

4550 Montgomery Ave
Suite 733N
Bethesda, MD 20814-3304

Mailing address

4550 Montgomery Ave
Suite 733N
Bethesda, MD 20814-3304
Phone (301) 656-6452

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306975461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MONTGOMERY AVE",
            "address_2": "SUITE 733N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143304",
            "telephone_number": "301-656-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MONTGOMERY AVE",
            "address_2": "SUITE 733N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143304",
            "telephone_number": "301-656-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA ENT ALLERGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIEPERGERDES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-360-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0043074",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.