PROACTIVE PAIN AND NEUROLOGY LLC NPI 1669037008

NPI Information

  • NPI: 1669037008
  • Provider Name: PROACTIVE PAIN AND NEUROLOGY, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: PROACTIVE PRIMARY CARE
  • Address: 925 BISHOP WALSH RD
    CUMBERLAND, MD
    ZIP 21502
  • Phone: (240) 362-7025

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NPI Details

PROACTIVE PAIN AND NEUROLOGY, LLC is a primary care nurse practitioner in Cumberland, MD. PROACTIVE PAIN AND NEUROLOGY, LLC NPI is 1669037008. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proactive Primary Care.

The provider's business location address is:

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502-845
Phone: (240) 362-7025
Fax: (240) 362-7064

The provider's authorized official is Dennis Daniel Dey .
The authorized official title is Owner and has the following contact phone number (240) 362-7025.

The enumeration date for this NPI number is 5/1/2019 and was last updated on 12/11/2020.

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
1363LF0000XNurse PractitionerFamilyNo
2363LP2300XNurse PractitionerPrimary CareYes

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
1DL77OTHERMARYLANDCAREFIRST
2392004600MEDICAIDMARYLAND
3622188OTHERMARYLANDMEDICARE

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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