Individual provider Active NPI

George Allen Patterson III, MD

  • Ophthalmology Physician
  • Bethesda, MD
National Provider Identifier
1386642858
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0027501 Issued in MD
Practice address
8218 Wisconsin Ave
Suite 316
Bethesda, MD 20814-3107
Phone
(301) 652-7061
Fax
(301) 656-6664
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0027501 MD Primary

Addresses

Primary practice location

8218 Wisconsin Ave
Suite 316
Bethesda, MD 20814-3107

Mailing address

8218 Wisconsin Ave
Suite 316
Bethesda, MD 20814-3107
Phone (301) 652-7061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000962 DC Practitioner - Ophthalmology 3375737059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0027501MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Bradley MD PC Ophthalmology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1386642858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE",
            "address_2": "SUITE 316",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143107",
            "telephone_number": "301-652-7061",
            "fax_number": "301-656-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE",
            "address_2": "SUITE 316",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143107",
            "telephone_number": "301-652-7061",
            "fax_number": "301-656-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "GEORGE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0027501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.