Active NPI
Charlotte Francesca Debord, M.D.
- Internal Medicine Physician
- Annapolis, MD
National Provider Identifier
1952834160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0089213
- Practice address
- 3275 Harness Creek Rd
Annapolis, MD 21403-1615 - Phone
- (410) 713-5703
- NPI assigned
- Apr 5, 2017
- Last updated
- Feb 15, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0089213 | MD | Primary |
Addresses
Primary practice location
3275 Harness Creek Rd
Annapolis, MD 21403-1615
Mailing address
3275 Harness Creek Rd
Annapolis, MD 21403-1615
Phone (410) 713-5703
Other practice location 1
22 S Greene St Rm N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110
Other practice location 2
Anne Arundel Medical Center
2002 Medical Pkwy
Annapolis, MD 21401
Phone (443) 481-1750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0089213 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1952834160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3275 HARNESS CREEK RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214031615",
"telephone_number": "410-713-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3275 HARNESS CREEK RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214031615",
"telephone_number": "410-713-5703"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St Rm N3E09",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-6110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Anne Arundel Medical Center",
"address_2": "2002 Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "21401",
"country_code": "US",
"telephone_number": "443-481-1750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBORD",
"first_name": "CHARLOTTE",
"middle_name": "FRANCESCA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0089213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.