Robert Bauer

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0014168 Issued in MD

Practice address

28170 Old Village Rd
Mechanicsville, MD 20659-4289

Phone

(301) 884-4666

Fax

(301) 884-5852

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Medstar Medical Group - Southern Maryland LLC

  • Internal Medicine Physician
  • Hollywood, MD
  • NPI 1831592211

  Family Medicine, MD

  Medicare reassignment NPD
• Medstar Medical Group - Southern Maryland LLC

  • Ambulatory Surgical Clinic/Center
  • Waldorf, MD
  • NPI 1730571118
  NPD
• Medstar Southern Maryland Physicians, LLC

  • Obstetrics & Gynecology Physician
  • White Plains, MD
  • NPI 1366644197
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1790703189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28170 OLD VILLAGE RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594289",
            "telephone_number": "301-884-4666",
            "fax_number": "301-884-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0014168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Against All Odds- Recovery Services LLC
• Bernadette Baker
• Phebe Julius Barth, M.AC, L.AC
• Tiffany Batiste, LCPC
• Karen Bauer
• Behind the Veil Counseling, LLC
• Bio Medical Applications of Maryland Inc
• Ashley O Brandon
• Trisha Hamilton Brown, L.C.S.W.-C
• Brandon Butcher, DMD

• All providers in Mechanicsville, MD
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.