Organization Active NPI

Bay Area Orthopaedics & Sports Medicine

  • Specialist
  • Glen Burnie, MD
National Provider Identifier
1841506201
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BAY AREA ORTHOPAEDICS & SPORTS MEDICINE
Practice address
1600 Crain Hwy S
Suite 401
Glen Burnie, MD 21061-5577
Phone
(410) 768-5050
Fax
(410) 768-5385
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Stephen D Brown
Title
Physician/Owner
Phone
(410) 768-5050

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD Primary
Durable Medical Equipment & Medical Supplies 332B00000X MD
Prosthetic/Orthotic Supplier 335E00000X MD

Addresses

Primary practice location

1600 Crain Hwy S
Suite 401
Glen Burnie, MD 21061-5577

Mailing address

1630 Main St
Suite 108
Chester, MD 21619-2791
Phone (410) 643-3410

Other identifiers 4

IdentifierTypeStateIssuer
6831OtherMDBLUE SHIELD OF DC
CE3238OtherMDRAILROAD MEDICARE
KE66BAOtherMDBLUE SHIELD OF MARYLAND
408171400MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1841506201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MAIN ST",
            "address_2": "SUITE 108",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192791",
            "telephone_number": "410-643-3410",
            "fax_number": "410-643-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 401",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA ORTHOPAEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "410-768-5050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF DC",
            "identifier": "6831",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE3238",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MARYLAND",
            "identifier": "KE66BA",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408171400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.