Active NPI
William Edward Behrens, M.D.
- Family Medicine Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0036488
- Practice address
- 129 Lubrano Dr
Suite 100
Annapolis, MD 21401-7566 - Phone
- (410) 266-5852
- Fax
- (410) 266-5095
- NPI assigned
- Aug 3, 2005
- Last updated
- Mar 25, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0036488 | MD | Primary |
Addresses
Primary practice location
129 Lubrano Dr
Suite 100
Annapolis, MD 21401-7566
Mailing address
1111 Benfield Blvd
Suite 200
Millersville, MD 21108-3002
Phone (410) 729-5100
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80083142 | Other | MD | RAILROAD MEDICARE |
| 4417726 | Other | MD | AETNA FEE FOR SERVICE |
| 400813-02 | Other | MD | CAREFIRST MD RENDERING |
| 7605-0025 | Other | MD | CAREFIRST BLUECHOICE |
| 835472 | Other | MD | MAMSI PRIMARY CARE |
| 011380 | Other | MD | JHHC PROVIDER NUMBER |
| 2938726 | Other | MD | CIGNA PIN |
| P11959 | Other | MD | CAREFIRST MPOS |
| 235472 | Other | MD | MAMSI SPECIALIST |
| 285081800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
129 Lubrano Dr
Suite 100
Annapolis, MD 21401-7566
Phone (410) 266-5852
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D36761 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Primary Care Physicians, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
129 Lubrano Dr
Ste 100
Annapolis, MD 21401
Phone (410) 266-5852
2448 Holly Ave
Ste 100
Annapolis, MD 21401
Phone (410) 266-5852
1509 Ritchie Hwy
Arnold, MD 21012
Phone (410) 757-1600
Interoperability endpoints
- wbehrens41824@direct.umm.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Annapolis, MD
- NPI 1083667067
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1841291564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 BENFIELD BLVD",
"address_2": "SUITE 200",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211083002",
"telephone_number": "410-729-5100",
"fax_number": "443-679-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 LUBRANO DR",
"address_2": "SUITE 100",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017566",
"telephone_number": "410-266-5852",
"fax_number": "410-266-5095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRENS",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0036488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "80083142",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA FEE FOR SERVICE",
"identifier": "4417726",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD RENDERING",
"identifier": "400813-02",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "7605-0025",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PRIMARY CARE",
"identifier": "835472",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC PROVIDER NUMBER",
"identifier": "011380",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "2938726",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MPOS",
"identifier": "P11959",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI SPECIALIST",
"identifier": "235472",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285081800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.