Organization
BRADDOCK MEDICAL GROUP
Active
Organization
BRADDOCK MEDICAL GROUP
Active
Other names
Braddock Medical Group Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E CHAPPELL MD (MEDICAL DIRECTOR)
(301) 722-3111
Entity
Organization
Contact information
Practice address
912 SETON DR, CUMBERLAND, MD 21502-1818
(301) 722-3111
(301) 722-5135
Mailing address
912 SETON DR, CUMBERLAND, MD 21502-1818
(301) 722-3111
(301) 722-5135
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
830420
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011509001
—
WV
Enumeration date
10/26/2006
Last updated
09/16/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up