Active NPI
Neb Doctors of Maryland LLC
- Durable Medical Equipment & Medical Supplies
- Nottingham, MD
National Provider Identifier
1639102072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037540500 | Medicaid | DC | |
| 409672000 | Medicaid | MD |
Other names 1
- Neb Doctors of Maryland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Nottingham, MD
- NPI 1528813813
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.
-
- Durable Medical Equipment & Medical Supplies
- Nottingham, MD
- NPI 1528813813
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.