Organization Active NPI

Neb Doctors of Maryland LLC

  • Durable Medical Equipment & Medical Supplies
  • Nottingham, MD
National Provider Identifier
1639102072
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEB DOCTORS OF MARYLAND LLC
Doing business as
Neb Doctors of Maryland
Practice address
5022 Campbell Blvd Ste I
Nottingham, MD 21236
Phone
(866) 449-4784
Fax
(888) 835-3354
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Sue Ellen Kay
Title
Senior Vice President
Phone
(770) 316-3685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5022 Campbell Blvd Ste I
Nottingham, MD 21236

Mailing address

PO Box 922576
Norcross, GA 30010-2576
Phone (866) 449-4784

Other identifiers 2

IdentifierTypeStateIssuer
037540500MedicaidDC
409672000MedicaidMD

Other names 1

  • Neb Doctors of Maryland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930062741 MD DME Supplier - Medical Supply Company 6800097312 Practice locations: Nottingham, MD

National Provider Directory

National Provider Directory
Tax ID family
Neb Doctors of Maryland LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5022 Campbell Blvd
Ste I
Nottingham, MD 21236

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1639102072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922576",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300102576",
            "telephone_number": "866-449-4784",
            "fax_number": "888-835-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 CAMPBELL BLVD STE I",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "866-449-4784",
            "fax_number": "888-835-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEB DOCTORS OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "770-316-3685"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037540500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409672000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neb Doctors of Maryland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neb Doctors of Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.