Bayside Primary Care LLC
NPI 1093834830ActiveOrganization· Specialist· Prince Frederick, MD
Specialist in Prince Frederick, Maryland, registered in NPPES in March 2007. The authorized official on file is Deborah R. Brower, CRNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093834830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2007 |
| Last updated in NPPES | May 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | R126934 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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