Organization Active NPI

Bernhard Zunkeler MD PA

  • Neurological Surgery Physician
  • Towson, MD
National Provider Identifier
1356340053
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D0052426 Issued in MD
Legal business name
BERNHARD ZUNKELER MD PA
Practice address
1122 Kenilworth Dr Ste 116
Towson, MD 21204-2142
Phone
(410) 337-8201
Fax
(410) 500-4567
NPI assigned
Jul 15, 2005
Last updated
Nov 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Dr. Bernhard Zunkeler, MDNPI 1396707998
Title
Doctor
Phone
(410) 337-8201

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
Neurological Surgery Physician 207T00000X D0052426 MD Primary

Addresses

Primary practice location

1122 Kenilworth Dr Ste 116
Towson, MD 21204-2142

Mailing address

1122 Kenilworth Dr Ste 116
Towson, MD 21204-2142
Phone (410) 337-8201

Other identifiers 13

IdentifierTypeStateIssuer
494347OtherMDNCPPO
05398OtherMDPHN
140006979OtherMDRAILROAD MEDICARE
2351178OtherMDAETNA-HMO
0600158OtherMDUNITED HEALTHCARE
OY20BOtherMDBCBS
444100100MedicaidMD
112902OtherMDCONVENTRY PPO
23124OtherMDEHPJHH
391881OtherMDMAMSI
5244650004OtherMDCIGNA
5129648OtherMDAETNA-PPO
E6910001OtherMDFEDERAL & BLUECHOICE BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100601000116 MD Part B Supplier - Clinic/Group Practice 8426187477 Receives reassigned benefits from 1 practitioner
Practice locations: Towson, MD

National Provider Directory

National Provider Directory

Locations

1122 Kenilworth Dr
Ste 116
Towson, MD 21204
Phone (410) 337-8201

6565 N Charles St
Ste 408
Towson, MD 21204
Phone (410) 321-7360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1356340053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 116",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042142",
            "telephone_number": "410-337-8201",
            "fax_number": "410-500-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 116",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042142",
            "telephone_number": "410-337-8201",
            "fax_number": "410-500-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNHARD ZUNKELER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "ZUNKELER",
        "authorized_official_first_name": "BERNHARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-337-8201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0052426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "494347",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHN",
            "identifier": "05398",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140006979",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "2351178",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0600158",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OY20B",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444100100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONVENTRY PPO",
            "identifier": "112902",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHPJHH",
            "identifier": "23124",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "391881",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5244650004",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-PPO",
            "identifier": "5129648",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL & BLUECHOICE BCBS",
            "identifier": "E6910001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.

Verify at the official NPI Registry.