Individual
DR. DOUGLAS EDWARD BICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-7081
(301) 677-8800
Mailing address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-7081
(301) 677-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0060992
MD
207Q00000X
Family Medicine Physician
Primary
MD064807L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001729950
—
PA
01
—
022923
JOHNS HOPKINS
PA
01
—
087314
UNISON-WMG
PA
01
—
1142370
AMERIHEALTH MERCY-WMG
PA
01
—
2145356
MAMSI-WMG
PA
01
—
443019
HIGHMARK BLUE SHIELD
PA
01
—
50059233
CAPITAL BLUE CROSS-WMG
PA
01
—
58667
GEISINGER HEALTH PLAN
PA
01
—
758508
CAREFIRST MD BCBS
MD
01
—
7646177
AETNA
PA
01
—
P002835
GATEWAY-WMG
PA
Enumeration date
05/30/2005
Last updated
08/16/2022
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