Braddock Medical Group P.A. in Cumberland - Contractor
Braddock Medical Group P.A. - NPI 1710980081
Braddock Medical Group P.A. is a Contractor in Cumberland, Maryland. Braddock Medical Group P.A. practices all healthcare services and medical treatments related to Contractor. The NPI Number for Braddock Medical Group P.A. is 1710980081. The last update date is 2023-03-21.
Braddock Medical Group P.A.'s current location address is 912 Seton Dr, Cumberland, Maryland. You can contact this provider via phone number 3017223111 and fax number 3017225135. The mailing address for Braddock Medical Group P.A. is 912 Seton Dr, Cumberland, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Braddock Medical Group P.A. |
|---|---|
| Address | 912 Seton Dr, Cumberland, Maryland |
| Phone Number | 3017223111 |
| Fax Number | 3017225135 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Livengood Taylor Paul |
| Telephone Number | 3017223111 |
NPI Number Detail
| NPI Number | 1710980081 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2023-03-21 |
Provider Mailing Address Detail
| Address | 912 Seton Dr |
|---|---|
| City | Cumberland |
| State | Maryland (MD) |
| Post Code | 2150218180 |
| Phone Number | 3017223111 |
| Fax Number | 3017225135 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
|
Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 874296 | PA | -- | |
| 910291400 | MD | -- | |
| 6216720003 | CIGNA | ||
| H529 | MEDICARE GROUP ID | ||
| 11509000 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Braddock Medical Group P.A. by the Centers for Medicare & Medicaid Services?
The Braddock Medical Group P.A. has been assigned the NPI (National Provider Identifier) 1710980081. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Braddock Medical Group P.A. is physically located?
The Braddock Medical Group P.A. is physically situated at the following address: 912 Seton Dr, Cumberland, MD, 2150218180.
What is Braddock Medical Group P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Braddock Medical Group P.A. is Contractor, and the taxonomy code that classifies this field of practice is 171W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710980081 to Braddock Medical Group P.A.?
The Braddock Medical Group P.A. received its 1710980081 assignment from the Centers for Medicare & Medicaid Services on 2005-05-31.
As of what date was the information pertaining to Braddock Medical Group P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Braddock Medical Group P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-21.
NPI Number: 1194728618
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