John R Bacon, MD, PA

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

D0028727 Issued in MD

Legal business name

JOHN R BACON, MD, PA

Practice address

120 Sister Pierre Dr Ste 201
Towson, MD 21204-7525

Phone

(410) 321-0284

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

John Richard Bacon, MD

Title

Allergist

Phone

(410) 321-0284

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1801103072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 201",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047525",
            "telephone_number": "410-321-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 201",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047525",
            "telephone_number": "410-321-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R BACON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "ALLERGIST",
        "authorized_official_telephone_number": "410-321-0284",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MD",
            "license": "D0028727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26692-1800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "B66916",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Johns Hopkins Community Physicians, Inc
• Johns Hopkins University
• Johns Hopkins University
• Johns Hopkins University
• Amanda Nicole Johnson, LMSW

• Allergy Physician in Towson, MD
• Providers in Towson, MD by specialty
• Allergy Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.