COMPREHENSIVE NEUROLOGY AND SLEEP MEDICINE P.A. NPI 1972509362

NPI Information

NPI: 1972509362
Provider Name: COMPREHENSIVE NEUROLOGY AND SLEEP MEDICINE, P.A.

Other Name: KONRAD W. BAKKER, M.D., P.A.

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
172 THOMAS JOHNSON DR
STE 100
FREDERICK, MD
ZIP 21702
Phone: (301) 694-0900
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COMPREHENSIVE NEUROLOGY AND SLEEP MEDICINE, P.A. is a neurology psychiatry neurology in Frederick, MD. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. COMPREHENSIVE NEUROLOGY AND SLEEP MEDICINE, P.A. NPI is 1972509362. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Konrad W. Bakker, M.d., P.a..

The provider's business location address is:

172 THOMAS JOHNSON DR
STE 100
FREDERICK, MD
ZIP 21702-405
Phone: (301) 694-0900
Fax: (301) 694-0657

The provider's authorized official is Willa Shriver .
The authorized official title is Practice Manager and has the following contact phone number (301) 694-0900.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 5/3/2012.

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	2084N0400X	Psychiatry & Neurology	Neurology	D0035322	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	Other Provider Identifier Issuer
1	237076	OTHER	VIRGINIA	ANTHEM BC/BS
2	3473625	OTHER	VIRGINIA	ATENA HMO
3	613465	OTHER	MARYLAND	MAMSI/MDIPA/OPT.CHOICE
4	500310	OTHER	MARYLAND	UNITED HEALTHCARE
5	424M	MEDICARE PIN	MARYLAND
6	372721	OTHER	VIRGINIA	MAMSI/MDIPA/OC DME
7	237074	OTHER	VIRGINIA	ANTHEM HEALTHKEEPERS
8	3327089	OTHER	MARYLAND	AETNA HMO
9	4137505	OTHER	MARYLAND	AETNA PPO/MC/EPO
10	G01553K01	MEDICARE ID-TYPE UNSPECIFIED	DISTRICT OF COLUMBIA	PHYSICIAN
11	G01553	MEDICARE PIN	DISTRICT OF COLUMBIA
12	KFE9CO	OTHER	MARYLAND	BLUE CROSS BLUE SHIELD
13	P00082559	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND	RAILROAD PHYSICIAN
14	5113	OTHER	DISTRICT OF COLUMBIA	BLUE CROSS BLUE SHEILD
15	372721	OTHER	MAINE	MAMSI/MDIPA/OC DME
16	1306711010	OTHER	MARYLAND	CIGNA
17	495169	OTHER	MARYLAND	NCPPO
18	526711100	MEDICAID	MARYLAND
19	4909620001	MEDICARE NSC	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: 11/14/2023

NPI Synchronization or Removal

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