Active NPI
Bernstein & Robinson Dermatology P.a.
- Dermatology Physician
- Bel Air, MD
National Provider Identifier
1467560177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0026939
- 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.
- 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.
-
- Physician Assistant
- Pasadena, MD
- NPI 1649052416
-
- Physician Assistant
- Bel Air, MD
- NPI 1629385554
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0214109 | Bernstein & Robinson Dermatology | Compliance | Sep 13, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1115 S Main St
Bel Air, MD 21014
Phone (410) 836-7404
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0026939 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| CF6255 | Other | MEDICARE RAILROAD | |
| J223 | Other | FEDERAL 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.