Individual provider Active NPI

Bennett Myers, M.D.

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1831518265
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0083088 Issued in MD
Practice address
110 S Paca St
6TH Floor, Suite 200
Baltimore, MD 21201-1642
Phone
(410) 328-8025
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0083088 MD Primary

Addresses

Primary practice location

110 S Paca St
6TH Floor, Suite 200
Baltimore, MD 21201-1642

Mailing address

110 S Paca St
6TH Floor, Suite 200
Baltimore, MD 21201-1642
Phone (410) 328-8025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170822001697 MD Practitioner - Emergency Medicine 6103198411 Reassigns benefits to 4 organizations
I20180620000572 DC Practitioner - Emergency Medicine 6103198411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Maryland School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Emergency Medicine Associates PAGroup PAC ID 1951294941, 57 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8025

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0083088MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Midtown Health Inc CurrentSince Jul 17, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2018 Accepting new patients
Emergency Physicians SPPS Emergency Medicine CurrentSince Sep 2, 2017 Accepting new patients

Locations

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

20010 Century Blvd
Ste 200
Germantown, MD 20874

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: bmyers74110@direct.umm.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1831518265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "6TH FLOOR, SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "6TH FLOOR, SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "BENNETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0083088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.