EASTERN SHORE PRIMARY CARE PRACTICE LLC NPI 1245910579

NPI Information

  • NPI: 1245910579
  • Provider Name: EASTERN SHORE PRIMARY CARE PRACTICE LLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 21D2289485
  • Address: 7416 CHURCH HILL RD STE 2
    CHESTERTOWN, MD
    ZIP 21620
  • Phone: (410) 498-4848

Map and Directions

Get Directions

NPI Details

EASTERN SHORE PRIMARY CARE PRACTICE LLC is an adult medicine family medicine in Chestertown, MD. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. EASTERN SHORE PRIMARY CARE PRACTICE LLC NPI is 1245910579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7416 CHURCH HILL RD STE 2
CHESTERTOWN, MD
ZIP 21620-808
Phone: (410) 498-4848

The provider's authorized official is Lauren M Bruneio .
The authorized official title is Owner and has the following contact phone number (570) 872-4533.

The CLIA number assigned to this NPI record is 21D2289485 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2023 and was last updated on 1/24/2024.

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
1207QA0505XFamily MedicineAdult MedicineYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.