BLUEROCK PRIMARY CARE – NPI #1831719806
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

BLUEROCK PRIMARY CARE is a provider located in WASHINGTON, DC. NPPES has assigned the NPI number 1831719806 to BLUEROCK PRIMARY CARE on April 20, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUEROCK PRIMARY CARE below.

NPI Profile for
BLUEROCK PRIMARY CARE

NPI Number
1831719806
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUEROCK PRIMARY CARE
Primary location
3429 11TH PL SE
WASHINGTON, DC 20032-5903
Phone: (202) 796-9775 Fax:
Mailing address
5305 BLACKISTONE RD
BETHESDA, MD 20816-1822
Phone: (240) 380-0402 Fax:
Organization Subpart
No
Authorized Official
MARC BERG
ADMINISTRATOR
Phone: (240) 380-0402
Updated
Certification Date
Apr 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.