Active NPI
Beverly Hurley Friedberg, D.D.S., M.S.
- Endodontics
- Elkton, MD
National Provider Identifier
1598889404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 8821
- Practice address
- 201 North St
Elkton, MD 21921-5512 - Phone
- (410) 392-9258
- Fax
- (410) 398-9190
- NPI assigned
- Mar 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 8821 | MD | Primary |
Addresses
Primary practice location
201 North St
Elkton, MD 21921-5512
Mailing address
201 North St
Elkton, MD 21921-5512
Phone (410) 392-9258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8821 | MD | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598889404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NORTH ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215512",
"telephone_number": "410-392-9258",
"fax_number": "410-398-9190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NORTH ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215512",
"telephone_number": "410-392-9258",
"fax_number": "410-398-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDBERG",
"first_name": "BEVERLY",
"middle_name": "HURLEY",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "8821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.