Individual provider Active NPI

Bruce E Jarrell, MD

  • Transplant Surgery Physician
  • Baltimore, MD
National Provider Identifier
1689840837
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
D52894 Issued in MD
Practice address
655 W Baltimore St
Univ of Maryland School of Medicine, 14-029
Baltimore, MD 21201-1509
Phone
(410) 706-2304
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X D52894 MD Primary

Addresses

Primary practice location

655 W Baltimore St
Univ of Maryland School of Medicine, 14-029
Baltimore, MD 21201-1509

Mailing address

655 W Baltimore St
Univ of Maryland School of Medicine, 14-029
Baltimore, MD 21201-1509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D52894MDMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Surgcial Assoc PA Past Accepting new patients
University of Maryland Surgical Associates, PA PastSince Jan 31, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bjarrell6654@direct.umm.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1689840837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W BALTIMORE ST",
            "address_2": "UNIV OF MARYLAND SCHOOL OF MEDICINE, 14-029",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W BALTIMORE ST",
            "address_2": "UNIV OF MARYLAND SCHOOL OF MEDICINE, 14-029",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011509",
            "telephone_number": "410-706-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "BRUCE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MD",
            "license": "D52894",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 7, 2008; 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.