NPIMap

Organization Active NPI

MD Medical and Wellness Center

  • Primary Care Clinic/Center
  • Bowie, MD
National Provider Identifier
1376180596
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MD MEDICAL AND WELLNESS CENTER
Practice address
4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135
Phone
(301) 808-0341
Fax
(301) 263-6860
NPI assigned
Dec 6, 2019
Last updated
Dec 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Dr. Miriam D. Martin, MD
Title
Medical Director
Phone
(301) 808-0341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135

Mailing address

4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135
Phone (301) 808-0341

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1376180596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A308",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163135",
            "telephone_number": "301-808-0341",
            "fax_number": "301-263-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A308",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163135",
            "telephone_number": "301-808-0341",
            "fax_number": "301-263-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-808-0341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.