Active NPI
Cortney Celeste Bleach, M.D.
- Pediatric Endocrinology Physician
- Bethesda, MD
National Provider Identifier
1912212655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 2012-01297
- Practice address
- 4494 Palmer Rd
Bethesda, MD 20889-0001 - Phone
- (301) 295-4959
- Fax
- (301) 319-2420
- NPI assigned
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2012-01297 | NC | |
| Pediatric Endocrinology Physician | 2080P0205X | 2012-01297 | NC | Primary |
Addresses
Primary practice location
4494 Palmer Rd
Bethesda, MD 20889-0001
Mailing address
4494 Palmer Rd
Bethesda, MD 20889-0001
Phone (301) 295-4959
Other practice location 1
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 916-9817
Other names 1
- Dr. Cortney Celeste Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016003820 | NC | Order and Referring Only - Pediatric Medicine | 1850622176 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1912212655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 PALMER RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-4959",
"fax_number": "301-319-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 PALMER RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-4959",
"fax_number": "301-319-2420"
}
],
"practiceLocations": [
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "Jbsa Ft Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-916-9817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLEACH",
"first_name": "CORTNEY",
"middle_name": "CELESTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2012-01297",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NC",
"license": "2012-01297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORTNEY",
"last_name": "WILSON",
"middle_name": "CELESTE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.