Reed Frederick Neubaum, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03912 Issued in MD

Practice address

13220 Wisteria Dr
Germantown, MD 20874-2619

Phone

(301) 828-8229

NPI assigned

Jan 24, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neubaum Wellness Group LLCGroup PAC ID 3779913215, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neubaum Wellness Group LLC

  • Chiropractor
  • Bel Air, MD
  • NPI 1023654290
  Medicare reassignment Care Compare group NPD
• Evolution Spine & Wellness LLC

  • Chiropractor
  • Gaithersburg, MD
  • NPI 1386184273
  NPD Authorized official

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1861990962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6082 CEDAR WOOD DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443675",
            "telephone_number": "301-661-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 WISTERIA DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742619",
            "telephone_number": "301-828-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBAUM",
        "first_name": "REED",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SINGLE SPECIALTY GROUP",
            "identifier": "1386184273",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Germantown, MD
• Providers in Germantown, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.