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BRUCE L REGAN MD CHARTERED NPI 1578743399


NPI Information

NPI: 1578743399
Provider Name: BRUCE L REGAN, MD CHARTERED
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
405 FREDERICK RD
SUITE 263
BALTIMORE, MD
ZIP 21228
Phone: (410) 747-6106
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BRUCE L REGAN, MD CHARTERED is an adult mental health clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BRUCE L REGAN, MD CHARTERED NPI is 1578743399. The provider is registered as an organization entity type.

The provider's business location address is:

405 FREDERICK RD
SUITE 263
BALTIMORE, MD
ZIP 21228-645
Phone: (410) 747-6106
Fax: (410) 747-5601

The provider's authorized official is Bruce Linthicum Regan .
The authorized official title is Prersident and has the following contact phone number (410) 747-6106.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 11/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthD0018610MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16927MEDICARE PINMARYLAND
2B70462MEDICARE UPINMARYLAND

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

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