Organization Active NPI

Bernstein & Robinson Dermatology P.a.

  • Dermatology Physician
  • Bel Air, MD
National Provider Identifier
1467560177
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0026939 Issued in MD
Legal business name
BERNSTEIN & ROBINSON DERMATOLOGY P.A.
Practice address
1115 S Main St
Bel Air, MD 21014-5460
Phone
(410) 879-7404
Fax
(410) 879-0283
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Howard Neil Robinson, M.D.NPI 1922034925
Title
Vice President
Phone
(410) 879-7404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0214109Bernstein & Robinson Dermatology1115 South Main Street, Bel Air, MD 21014ComplianceSep 13, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20070308000166 MD Part B Supplier - Clinic/Group Practice 7911000104 Receives reassigned benefits from 7 practitioners
Practice locations: Bel Air, MD

National Provider Directory

National Provider Directory

Locations

1115 S Main St
Bel Air, MD 21014
Phone (410) 836-7404

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X D0026939 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1115 S Main St
Bel Air, MD 21014-5460

Mailing address

1115 S Main St
Bel Air, MD 21014-5460
Phone (410) 879-7404

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
CF6255OtherMEDICARE RAILROAD
J223OtherFEDERAL BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2010.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1467560177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145460",
            "telephone_number": "410-879-7404",
            "fax_number": "410-879-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145460",
            "telephone_number": "410-879-7404",
            "fax_number": "410-879-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNSTEIN & ROBINSON DERMATOLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-879-7404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0026939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CF6255",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE SHIELD",
            "identifier": "J223",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.