Paul Berez MD LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PAUL BEREZ MD LLC

Practice address

2191 Defense Hwy Ste 403
Crofton, MD 21114-2931

Phone

(410) 570-7455

Fax

(667) 307-4909

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

Paul Berez

Title

Owner

Phone

(703) 307-7543

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1326650334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 VILLAGE GRN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HWY STE 403",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142931",
            "telephone_number": "410-570-7455",
            "fax_number": "667-307-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BEREZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "BEREZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-307-7543"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel I. Park, DMD
• Michael Y Park, DMD
• Natalia Renee Parker
• Ashmani Patel, DC
• Kruti Sanjiv Patel, DDS
• Kristen Elizabeth Paul, LGMFT, LGPC
• Meagan Paulk
• Kaylin Pearson
• Rene' P. Peart, MA, LCPC
• Pediatric Health Connect LLC

• Adult Medicine Physician in Crofton, MD
• Providers in Crofton, MD by specialty
• Adult Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.