Calvert Ross Bregel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0876 Issued in MD

Practice address

1029 Light St
Baltimore, MD 21230-4017

Phone

(410) 752-8208

Fax

(410) 752-7144

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Federal Hill Practice LLC

  • Optometrist
  • Baltimore, MD
  • NPI 1124520895
  NPD

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1528065885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304017",
            "telephone_number": "410-752-8208",
            "fax_number": "410-752-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304017",
            "telephone_number": "410-752-8208",
            "fax_number": "410-752-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREGEL",
        "first_name": "CALVERT",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Shanel Breeden, LCSW-C
• Lora Breeding, BSN,RN
• Sara Ellen Breedlove, RN
• Taylor Leigh Breen, PA-C
• Kimberly Anne Breese, M.S., CCC-SLP
• Sarah Rebecca Brehm, LGPC
• Emily Breichner, LMSW
• Breizer Physiotherapy, LLC
• Vitali Breizer, PT
• Graham Brem, MD

• Optometrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.