Greater Baltimore Medical Center, Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

GREATER BALTIMORE MEDICAL CENTER, INC.

Practice address

6701 N Charles St
Dept of Neurology
Baltimore, MD 21204-6808

Phone

(443) 849-2000

NPI assigned

Jul 13, 2006

Organization subpart

Yes

Parent organization

GREATER BALTIMORE MEDICAL CENTER, INC.As reported in NPPES

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

Authorized official

Name

Laurie Beyer

Title

Vice President & Cfo

Phone

(443) 849-2519

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• GBMC, Inc.-Neurology Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Part of

GB Head and Neck Assoc

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1861417545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631568",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212631568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "address_2": "DEPT OF NEUROLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "443-849-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BALTIMORE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER BALTIMORE MEDICAL CENTER, INC.",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "443-849-2519"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST REGIONAL",
            "identifier": "S122",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236201500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "KJ36GB",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GBMC, Inc.-Neurology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GBMC, Inc.-Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.

• Neurology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.