William Bara-Jimenez, MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0052154 Issued in MD

Legal business name

WILLIAM BARA-JIMENEZ, MD LLC

Practice address

10901 Connecticut Ave
Suite 100
Kensington, MD 20895-1645

Phone

(240) 221-8052

Fax

(240) 221-8054

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Bara-Jimenez, M.D.NPI 1407931496

Title

Owner

Phone

(240) 221-8052

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17300/brand/1/csg/1/fhir/r4

Practitioners 1

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

• William Bara-Jimenez, M.D.

  • Specialist
  • Kensington, MD
  • NPI 1407931496

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1841414331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "SUITE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-816-9000",
            "fax_number": "301-816-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "SUITE 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951645",
            "telephone_number": "240-221-8052",
            "fax_number": "240-221-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BARA-JIMENEZ, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BARA-JIMENEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-221-8052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0052154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Wert, LCPC
• Katherine Langerfelder Whitaker, M.D.
• Tiesha M White
• Andrew Whyne
• Laura Willard, LCSW-C
• Kailey Williams
• Leslieann C Williams, M.S., CCC-SLP
• Elaine Williamson, RN
• Veronica Genies Wilson, PT
• Thomas Winkler, MD

• Specialist in Kensington, MD
• Providers in Kensington, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.