Individual provider Active NPI

Alfred D Sparks, M.D.

  • Family Medicine Physician
  • Bel Air, MD
National Provider Identifier
1629073267
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D39889 Issued in MD
Practice address
615 W Macphail Rd
Ste 106
Bel Air, MD 21014-4393
Phone
(410) 638-8900
Fax
(410) 638-8915
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D39889 MD Primary

Addresses

Primary practice location

615 W Macphail Rd
Ste 106
Bel Air, MD 21014-4393

Mailing address

615 W Macphail Rd
Ste 106
Bel Air, MD 21014-4393
Phone (410) 638-8900

Other identifiers 1

IdentifierTypeStateIssuer
060821100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406001285 MD Practitioner - Family Practice 9537116959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D39889MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Primary Care LLC Family Medicine CurrentSince Jul 1, 1995 Accepting new patients

Locations

615 W Macphail Rd
Bel Air, MD 21014
Phone (410) 638-8900

615 W Macphail Rd
Ste 106
Bel Air, MD 21014
Phone (410) 638-8900

2 North Ave
Ste 101
Bel Air, MD 21014
Phone (410) 296-1661

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1629073267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "STE 106",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144393",
            "telephone_number": "410-638-8900",
            "fax_number": "410-638-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "STE 106",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144393",
            "telephone_number": "410-638-8900",
            "fax_number": "410-638-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ALFRED",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D39889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060821100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.