SPENCER FAMILY PRACTICE LLC NPI 1568032464

NPI Information

  • NPI: 1568032464
  • Provider Name: SPENCER FAMILY PRACTICE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 21D2241426
  • Address: 8061 SPRINGFIELD RD
    GLENN DALE, MD
    ZIP 20769
  • Phone: (434) 390-6641

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NPI Details

SPENCER FAMILY PRACTICE LLC is a family medicine in Glenn Dale, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPENCER FAMILY PRACTICE LLC NPI is 1568032464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8061 SPRINGFIELD RD
GLENN DALE, MD
ZIP 20769-605
Phone: (434) 390-6641
Fax: (240) 206-3855

The provider's authorized official is Mary L Spencer .
The authorized official title is Ceo/ Owner and has the following contact phone number (434) 390-6641.

The CLIA number assigned to this NPI record is 21D2241426 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2021 and was last updated on 7/1/2021.

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
1207Q00000XFamily MedicineYes

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
1225826900MEDICAIDMARYLAND

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

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