Maribeth Mulsid Bugash

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R205166 Issued in MD

Practice address

2722 Silver Hammer Way
Brookeville, MD 20833-3243

Phone

(240) 507-0105

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1497442651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 SILVER HAMMER WAY",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333243",
            "telephone_number": "240-507-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 SILVER HAMMER WAY",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333243",
            "telephone_number": "240-507-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGASH",
        "first_name": "MARIBETH",
        "middle_name": "MULSID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R205166",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R205166",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "R205166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Susan Anglin, SLP
• Kathleen Bachiochi, MS, CCC - SLP
• Richard J. Bertin, RPH, PHD
• Chechelle Marie Tablang Bustamante, FNP
• Eric Matthew Button
• Tiera Chenault
• Alissa Joy Dalgewicz Cole
• Aislinn Cunningham, RBT

• Nephrology Physician in Brookeville, MD
• Providers in Brookeville, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.