Organization Active NPI

Coastal Medical Center PA C/O Paul D Bruns, Jr, MD

  • Urgent Care Clinic/Center
  • Ocean City, MD
National Provider Identifier
1740424092
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
D0023377 Issued in MD
Legal business name
COASTAL MEDICAL CENTER PA C/O PAUL D BRUNS, JR, MD
Practice address
6300 Coastal Hwy
Ocean City, MD 21842-7312
Phone
(410) 726-5540
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Paul D Bruns Jr., M.D.
Title
Ceo
Phone
(410) 726-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X D0023377 MD Primary

Addresses

Primary practice location

6300 Coastal Hwy
Ocean City, MD 21842-7312

Mailing address

12470 Wendell Holmes Rd
Herndon, VA 20171-2461
Phone (410) 726-5540

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1740424092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 WENDELL HOLMES RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712461",
            "telephone_number": "410-726-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 COASTAL HWY",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218427312",
            "telephone_number": "410-726-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL CENTER PA C/O PAUL D BRUNS, JR, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-726-5540",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "D0023377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.