NPIMap

Organization Active NPI

Branch Medical Clinic Andrews

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Andrews AFB, MD
National Provider Identifier
1487850541
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
BRANCH MEDICAL CLINIC ANDREWS
Practice address
1 San Diego Loop
BLDG 3282
Andrews AFB, MD 20762-5518
Phone
(240) 857-2865
NPI assigned
Jun 26, 2007
Last updated
Dec 19, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HEALTH CLINIC PATUXENT RIVERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Mr. William Michael Condon
Title
Navy Medicine Ubo Program Manager
Phone
(240) 401-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

1 San Diego Loop
BLDG 3282
Andrews AFB, MD 20762-5518

Mailing address

1 San Diego Loop
BLDG 3282
Andrews AFB, MD 20762-5518

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Andrews7 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Andrews

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1487850541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAN DIEGO LOOP",
            "address_2": "BLDG 3282",
            "city": "ANDREWS AFB",
            "state": "MD",
            "postal_code": "207625518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAN DIEGO LOOP",
            "address_2": "BLDG 3282",
            "city": "ANDREWS AFB",
            "state": "MD",
            "postal_code": "207625518",
            "telephone_number": "240-857-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH MEDICAL CLINIC ANDREWS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HEALTH CLINIC PATUXENT RIVER",
        "enumeration_date": "2007-06-26",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "NAVY MEDICINE UBO PROGRAM MANAGER",
        "authorized_official_telephone_number": "240-401-3643",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andrews AFB, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.