Active NPI
Young C. Bae, M.D.
- Specialist
- Cumberland, MD
National Provider Identifier
1376546648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- YOUNG C. BAE, M.D.
- Practice address
- 900 Seton Dr
Cumberland, MD 21502-1854 - Phone
- (301) 724-8727
- Fax
- (301) 724-7429
- NPI assigned
- May 31, 2005
- 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
- Dr. Young C Bae, M.D.
- Title
- M.D.
- Phone
- (301) 724-8727
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
900 Seton Dr
Cumberland, MD 21502-1854
Mailing address
PO Box 698
Cumberland, MD 21501-0698
Phone (301) 724-8727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2563YC | Other | MD | BLUE SHIELD |
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.
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- NPI 1124021423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376546648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215010698",
"telephone_number": "301-724-8727",
"fax_number": "301-724-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SETON DR",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215021854",
"telephone_number": "301-724-8727",
"fax_number": "301-724-7429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG C. BAE, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BAE",
"authorized_official_first_name": "YOUNG",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "301-724-8727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "2563YC",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.