Organization Active NPI

Atlantic Gastroenterology PA

  • Gastroenterology Physician
  • Berlin, MD
National Provider Identifier
1467512467
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ATLANTIC GASTROENTEROLOGY PA
Practice address
314 Franklin Ave
Suite 304
Berlin, MD 21811-1215
Phone
(410) 629-1450
Fax
(410) 629-1460
NPI assigned
Dec 11, 2006
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Jonathan D Bell, MDNPI 1437147873
Title
Proprietor
Phone
(410) 629-1450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

314 Franklin Ave
Suite 304
Berlin, MD 21811-1215

Mailing address

PO Box 856
Berlin, MD 21811-0856
Phone (410) 629-1450

National Provider Directory

National Provider Directory

Locations

96 Atlantic Ave
Unit 3
Ocean View, DE 19970
Phone (410) 629-0222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1467512467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218110856",
            "telephone_number": "410-629-1450",
            "fax_number": "410-629-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE",
            "address_2": "SUITE 304",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111215",
            "telephone_number": "410-629-1450",
            "fax_number": "410-629-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "410-629-1450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.