Active NPI
Dale Buchbinder, M.D.
- Vascular Surgery Physician
- Baltimore, MD
National Provider Identifier
1689683955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- D40121
- Practice address
- 6569 N Charles St
Ste 701
Baltimore, MD 21204-6831 - Phone
- (443) 849-3431
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D40121 | MD | |
| Vascular Surgery Physician | 2086S0129X | D40121 | MD | Primary |
Addresses
Primary practice location
6569 N Charles St
Ste 701
Baltimore, MD 21204-6831
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074311900 | Medicaid | MD | |
| S130/0002 | Other | MD | CAREFIRST REGIONAL |
| KJ64GB/52101803 | Other | MD | CAREFIRST MARYLAND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1689683955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6569 N CHARLES ST",
"address_2": "STE 701",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046831",
"telephone_number": "443-849-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHBINDER",
"first_name": "DALE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D40121",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MD",
"license": "D40121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074311900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL",
"identifier": "S130/0002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "KJ64GB/52101803",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.