Organization Active NPI

Bruce Rabin, M.D., P.a.

  • Neurology Physician
  • Lutherville, MD
National Provider Identifier
1851589360
Registry record updated Feb 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D004850 Issued in MD
Legal business name
BRUCE RABIN, M.D., P.A.
Practice address
10753 Falls Rd Ste 345
Lutherville, MD 21093-4598
Phone
(410) 616-7188
Fax
(410) 616-7131
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2020

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

Authorized official

Name
Dr. Bruce Arlan Rabin, M.D., PH.D.
Title
President
Phone
(410) 616-7188

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0008X D0044850 MD
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X D004850 MD Primary
Clinical Neurophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0600X D004850 MD

Addresses

Primary practice location

10753 Falls Rd Ste 345
Lutherville, MD 21093-4598

Mailing address

10753 Falls Rd Ste 345
Lutherville, MD 21093-4598
Phone (410) 616-7188

National Provider Directory

National Provider Directory

Locations

10755 Falls Rd
Ste 370
Lutherville, MD 21093
Phone (410) 616-7188

10753 Falls Rd
Ste 345
Lutherville Timonium, MD 21093
Phone (410) 616-7188

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581811200000",
    "number": "1851589360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD STE 345",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934598",
            "telephone_number": "410-616-7188",
            "fax_number": "410-616-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD STE 345",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934598",
            "telephone_number": "410-616-7188",
            "fax_number": "410-616-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE RABIN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A",
        "authorized_official_last_name": "RABIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ARLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-616-7188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "MD",
            "license": "D0044850",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D004850",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MD",
            "license": "D004850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.