Active NPI
Bethesda Neurology, LLC
- Neurology Physician
- N Bethesda, MD
National Provider Identifier
1316136583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0052447
- Legal business name
- BETHESDA NEUROLOGY, LLC
- Practice address
- 3202 Tower Oaks Blvd
Suite 330
N Bethesda, MD 20852-4219 - Phone
- (301) 540-2700
- Fax
- (866) 328-4322
- NPI assigned
- Oct 23, 2007
- 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
- David M Katz, M.D.
- Title
- Ceo
- Phone
- (301) 540-2700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | D0052447 | MD | Primary |
Addresses
Primary practice location
3202 Tower Oaks Blvd
Suite 330
N Bethesda, MD 20852-4219
Mailing address
3202 Tower Oaks Blvd
Suite 330
N Bethesda, MD 20852-4219
Phone (301) 540-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1193097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407888000000",
"number": "1316136583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 TOWER OAKS BLVD",
"address_2": "SUITE 330",
"city": "N BETHESDA",
"state": "MD",
"postal_code": "208524219",
"telephone_number": "301-540-2700",
"fax_number": "866-328-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 TOWER OAKS BLVD",
"address_2": "SUITE 330",
"city": "N BETHESDA",
"state": "MD",
"postal_code": "208524219",
"telephone_number": "301-540-2700",
"fax_number": "866-328-4322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHESDA NEUROLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-23",
"last_updated": "2014-08-13",
"status": "A",
"authorized_official_last_name": "KATZ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-540-2700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0052447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.