Individual provider Active NPI

Liana Bumbrey, PA

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1962597526
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C03146 Issued in MD
Practice address
9000 Franklin Square
Baltimore, MD 21218
Phone
(202) 877-9696
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C03146 MD Primary

Addresses

Primary practice location

9000 Franklin Square
Baltimore, MD 21218

Mailing address

1000 River Road
Ste 100
Conshohocken, PA 19428
Phone (800) 355-3818

Other identifiers 1

IdentifierTypeStateIssuer
P00352071OtherMDRAILROAD MED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000384 MD Practitioner - Physician Assistant 9830123553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4424AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology P a CurrentSince Mar 26, 2012 Accepting new patients
Advanced Radiology P a CurrentSince Mar 26, 2012 Accepting new patients
Medlantic Healthcare Group Emergency Medicine Past Accepting new patients
Advanced Radiology P a Past Accepting new patients

Locations

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

Interoperability endpoints

  • Direct secure messaging: lbumbrey46519@direct.umm.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1962597526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVER ROAD",
            "address_2": "STE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "800-355-3818",
            "fax_number": "610-834-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "202-877-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBREY",
        "first_name": "LIANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "C03146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED",
            "identifier": "P00352071",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.