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BLUEROCK PRIMARY CARE NPI 1831719806


NPI Information

NPI: 1831719806
Provider Name: BLUEROCK PRIMARY CARE
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
3429 11TH PL SE
WASHINGTON, DC
ZIP 20032
Phone: (202) 796-9775
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BLUEROCK PRIMARY CARE is an adult medicine family medicine in Washington, DC. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. BLUEROCK PRIMARY CARE NPI is 1831719806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3429 11TH PL SE
WASHINGTON, DC
ZIP 20032-903
Phone: (202) 796-9775

The provider's authorized official is Marc Berg .
The authorized official title is Administrator and has the following contact phone number (240) 380-0402.

The enumeration date for this NPI number is 4/20/2020 and was last updated on 4/20/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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.