Individual provider Active NPI

Berni Schor, MD

  • Pediatrics Physician
  • Towson, MD
National Provider Identifier
1457930919
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0101455 Issued in MD
Practice address
849 Fairmount Ave Ste 100a
Towson, MD 21286-2600
Phone
(410) 494-1369
Fax
(410) 494-2737
NPI assigned
Apr 2, 2021
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X D0101455 MD Primary

Addresses

Primary practice location

849 Fairmount Ave Ste 100a
Towson, MD 21286-2600

Mailing address

849 Fairmount Ave Ste 100a
Towson, MD 21286-2600
Phone (410) 494-1369

Other practice location 1

3959 Broadway
New York, NY 10032-1559
Phone (212) 305-8504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240829004738 MD Practitioner - Pediatric Medicine 9335688696 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Pediatrics, LLC Pediatrics CurrentSince Aug 26, 2024 Accepting new patients

Locations

10084 Reisterstown Rd
Ste 200B
Owings Mills, MD 21117
Phone (410) 526-7993

849 Fairmount Ave
Ste 100A
Towson, MD 21286
Phone (410) 494-1369

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1457930919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE STE 100A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862600",
            "telephone_number": "410-494-1369",
            "fax_number": "410-494-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE STE 100A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862600",
            "telephone_number": "410-494-1369",
            "fax_number": "410-494-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3959 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321559",
            "country_code": "US",
            "telephone_number": "212-305-8504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOR",
        "first_name": "BERNI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0101455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.