Active NPI
Dr B Medical Group de PA
- General Practice Physician
- Potomac, MD
National Provider Identifier
1629722483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
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- Emergency Medicine Physician
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-
- Internal Medicine Physician
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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.