JOHN RICHARD BACON M.D. NPI 1538162078

NPI Information

NPI: 1538162078
Provider Name: JOHN RICHARD BACON, M.D.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

Address:
120 SISTER PIERRE DR
STE 201
TOWSON, MD
ZIP 21204
Phone: (410) 321-0284
Get Directions

John Richard Bacon, M.D. is an allergy allergy immunology in Towson, MD. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee John Richard Bacon, M.D. NPI is 1538162078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

120 SISTER PIERRE DR
STE 201
TOWSON, MD
ZIP 21204-525
Phone: (410) 321-0284
Fax: (410) 321-0286

The enumeration date for this NPI number is 5/28/2005 and was last updated on 5/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	D0028727	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B66916	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
2	26692-1800	MEDICAID	MARYLAND
3	B66916	MEDICARE UPIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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