Active NPI
Bernard Rubin, M.D.
- Cardiovascular Disease Physician
- Pikesville, MD
National Provider Identifier
1366471773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0022115
- Practice address
- 4000 Old Court Rd
Suite 103
Pikesville, MD 21208-2800 - Phone
- (410) 521-5600
- Fax
- (410) 580-9061
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0022115 | MD | Primary |
Addresses
Primary practice location
4000 Old Court Rd
Suite 103
Pikesville, MD 21208-2800
Mailing address
4000 Old Court Rd
Suite 103
Pikesville, MD 21208-2800
Phone (410) 521-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366471773 | Other | MD | MEDICARE NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0022115 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Diagnostic Services, Inc | Cardiovascular Disease | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Owings Mills, MD
- NPI 1568497113
Cardiovascular Disease
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1366471773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 OLD COURT RD",
"address_2": "SUITE 103",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212082800",
"telephone_number": "410-521-5600",
"fax_number": "410-580-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 OLD COURT RD",
"address_2": "SUITE 103",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212082800",
"telephone_number": "410-521-5600",
"fax_number": "410-580-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0022115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1366471773",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.