Organization Active NPI

Dr B Medical Group de PA

  • General Practice Physician
  • Potomac, MD
National Provider Identifier
1629722483
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DR B MEDICAL GROUP DE PA
Practice address
350C Fortune Ter # 227
Potomac, MD 20854-2980
Phone
(877) 372-1104
NPI assigned
Feb 9, 2022
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Alex Mohseni, MD
Title
President
Phone
(301) 706-4461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

350C Fortune Ter # 227
Potomac, MD 20854-2980

Mailing address

350C Fortune Ter # 227
Potomac, MD 20854-2980
Phone (877) 372-1104

National Provider Directory

National Provider Directory

Locations

350 Fortune Ter
Ste C
Potomac, MD 20854
Phone (202) 751-6519

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1629722483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350C FORTUNE TER # 227",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542980",
            "telephone_number": "877-372-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350C FORTUNE TER # 227",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542980",
            "telephone_number": "877-372-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR B MEDICAL GROUP DE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "MOHSENI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-706-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.