NPIMap

Organization Active NPI

Maryland Medical Group, PLLC

  • Non-Pharmacy Dispensing Site
  • Aberdeen, MD
National Provider Identifier
1831415868
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
M42628 Issued in MD
Legal business name
MARYLAND MEDICAL GROUP, PLLC
Practice address
995 Hospitality Way
Aberdeen, MD 21001
Phone
(410) 306-7880
Fax
(410) 306-7881
NPI assigned
Apr 15, 2010
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Mr. Marvin W Bridgers III, RPHNPI 1033460944
Title
Director of Pharmacy
Phone
(804) 822-4383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X M42628 MD Primary

Addresses

Primary practice location

995 Hospitality Way
Aberdeen, MD 21001

Mailing address

995 Hospitality Way
Aberdeen, MD 21001
Phone (410) 306-7880

Other names 1

  • PATIENT FIRST ABERDEEN Other name

National Provider Directory

National Provider Directory
Tax ID family
Patient First Maryland Medical Group PLLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1831415868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 HOSPITALITY WAY",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "21001",
            "telephone_number": "410-306-7880",
            "fax_number": "410-306-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 HOSPITALITY WAY",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "21001",
            "telephone_number": "410-306-7880",
            "fax_number": "410-306-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "BRIDGERS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "804-822-4383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MD",
            "license": "M42628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATIENT FIRST ABERDEEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.