Organization Active NPI

Spring Family Medical Center P.C.

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1821233487
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D52883 Issued in MD
Legal business name
SPRING FAMILY MEDICAL CENTER P.C.
Practice address
8630 Fenton St Ste 900
Silver Spring, MD 20910-3810
Phone
(301) 562-7764
Fax
(301) 562-0884
NPI assigned
Dec 11, 2008
Organization subpart
Yes
Parent organization
SPRING FAMILY MEDICAL CENTER P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Dr. Oliver Moses Bennett, M.D.NPI 1467429415
Title
Director
Phone
(301) 562-7764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D52883 MD Primary

Addresses

Primary practice location

8630 Fenton St Ste 900
Silver Spring, MD 20910-3810

Mailing address

8630 Fenton St Ste 900
Silver Spring, MD 20910-3810
Phone (301) 562-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041227000252 DC Part B Supplier - Clinic/Group Practice 1658339403 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0978196Spring Family Medical Center PC8630 Fenton St Suite 900, Silver Spring, MD 20910Provider-performed microscopySep 18, 2026

National Provider Directory

National Provider Directory
Part of
Spring Family Medical C

Locations

1111 Spring St
Ste G1
Silver Spring, MD 20910
Phone (301) 562-7764

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1821233487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 900",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103810",
            "telephone_number": "301-562-7764",
            "fax_number": "301-562-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 900",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103810",
            "telephone_number": "301-562-7764",
            "fax_number": "301-562-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING FAMILY MEDICAL CENTER P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRING FAMILY MEDICAL CENTER P.C.",
        "enumeration_date": "2008-12-11",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "MOSES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-562-7764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D52883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.