Individual provider Active NPI

Barry Stephen Marx, MD

  • Pediatrics Physician
  • Aberdeen, MD
National Provider Identifier
1760489819
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0032422 Issued in MD
Practice address
Kirk U.S. Army Health Clinic 6455 Machine Street
Aberdeen, MD 21005-5000
Phone
(410) 278-5475
NPI assigned
Jul 5, 2005
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0032422 MD Primary

Addresses

Primary practice location

Kirk U.S. Army Health Clinic 6455 Machine Street
Aberdeen, MD 21005-5000

Mailing address

3908 N Charles St Apt 901
Baltimore, MD 21218-1752
Phone (410) 366-4594

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510000528 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6406045467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0032422MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Medical System, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1760489819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 N CHARLES ST APT 901",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181752",
            "telephone_number": "410-366-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KIRK U.S. ARMY HEALTH CLINIC 6455 MACHINE STREET",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210055000",
            "telephone_number": "410-278-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARX",
        "first_name": "BARRY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-05-03",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0032422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.