NPIMap

Organization Active NPI

Greenbelt Medical Center

  • Family Medicine Physician
  • Greenbelt, MD
National Provider Identifier
1578636858
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0055075 Issued in MD
Legal business name
GREENBELT MEDICAL CENTER
Practice address
7525 Greenway Center Dr Ste T3
Greenbelt, MD 20770-3527
Phone
(301) 441-1800
Fax
(301) 474-8979
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Bernard Rais Farzin, M.D.NPI 1336138262
Title
Owner
Phone
(301) 441-1800

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0055075 MD Primary

Addresses

Primary practice location

7525 Greenway Center Dr Ste T3
Greenbelt, MD 20770-3527

Mailing address

7525 Greenway Center Dr Ste T3
Greenbelt, MD 20770-3527
Phone (301) 441-1800

Other identifiers 3

IdentifierTypeStateIssuer
5704OtherDCBLUE CROSS BLUE SHIELD
DG3845OtherMDRAILROAD/MEDICARE
OF31OtherMDCAREFIRST BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1578636858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE T3",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703527",
            "telephone_number": "301-441-1800",
            "fax_number": "301-474-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE T3",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703527",
            "telephone_number": "301-441-1800",
            "fax_number": "301-474-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBELT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "FARZIN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "RAIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-441-1800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0055075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5704",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD/MEDICARE",
            "identifier": "DG3845",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "OF31",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.