Active NPI
Bert Vogelstein, M.D.
- Research Study Specialist
- Baltimore, MD
National Provider Identifier
1801183959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- License
- D0017152
- Practice address
- 1650 Orleans St
CRB1, Room 589
Baltimore, MD 21287-0013 - Phone
- (410) 955-8878
- NPI assigned
- Jul 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | D0017152 | MD | Primary |
Addresses
Primary practice location
1650 Orleans St
CRB1, Room 589
Baltimore, MD 21287-0013
Mailing address
1650 Orleans St
CRB1, Room 589
Baltimore, MD 21287-0013
Phone (410) 955-8878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0017152 | Other | MD | PHYSICIAN AND SURGEON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0017152 | MD | MD | Research Study Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1801183959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 ORLEANS ST",
"address_2": "CRB1, ROOM 589",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870013",
"telephone_number": "410-955-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 ORLEANS ST",
"address_2": "CRB1, ROOM 589",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870013",
"telephone_number": "410-955-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGELSTEIN",
"first_name": "BERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-08",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "MD",
"license": "D0017152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN AND SURGEON",
"identifier": "D0017152",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.