Individual provider Active NPI

Bridget Queral, MSN, RN, CPNP

  • Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1760233738
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R264318 Issued in MD
Practice address
9512 Harford Rd Ste 201
Baltimore, MD 21234-3125
Phone
(667) 310-2286
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383605 NY
Pediatric Nurse Practitioner 363LP0200X R264318 MD Primary
Registered Nurse 163W00000X R264318 MD
Registered Nurse 163W00000X 741136 NY

Addresses

Primary practice location

9512 Harford Rd Ste 201
Baltimore, MD 21234-3125

Mailing address

9512 Harford Rd Ste 201
Baltimore, MD 21234-3125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731004556 MD Practitioner - Nurse Practitioner 0648717264 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
741136NYMDRegistered Nurse
R264318MDMDPediatric Nurse Practitioner
383605NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jun 15, 2024 Accepting new patients
Johns Hopkins University CurrentSince Apr 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Apr 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 15, 2024 Accepting new patients
Johns Hopkins University Current Accepting new patients
Kennedy Krieger Associates Past Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

9512 Harford Rd
Ste 201
Parkville, MD 21234
Phone (410) 882-0600

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Interoperability endpoints

  • Direct secure messaging: bqueral45712@direct.kennedykrieger.org

Organizations & group practices 6

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1760233738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9512 HARFORD RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 HARFORD RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343125",
            "telephone_number": "667-310-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERAL",
        "first_name": "BRIDGET",
        "credential": "MSN, RN, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383605",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R264318",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R264318",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "741136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.