Individual
DR. KONRAD W BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
172 THOMAS JOHNSON DR, STE 100, FREDERICK, MD 21702-4405
(301) 694-0900
(301) 694-0657
Mailing address
172 THOMAS JOHNSON DR, STE 100, FREDERICK, MD 21702-4405
(301) 694-0900
(301) 694-0657
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
D0035322
MD
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
DOO35322
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501704
EVERCARE
MD
01
—
1306711010
CIGNA MD/VA
MD
01
—
186224
COVENTRY
MD
01
—
237074
ANTHEM HEALTHKEEPERS
VA
01
—
237076
ANTHEM BC/BS
VA
01
—
3327089
AETNA HMO
MD
01
—
3473625
AETNA HMO
VA
01
—
372721
MAMASI/MDIPA.OPT. CH. DME
MD
01
—
4137502
AETNA PPO/MC/EPO
MD
01
—
495169
NCPPO
MD
01
—
500310
UNITED HEALTHCARE
MD
01
—
5113
BC/BC OF DC
DC
05
—
526711100
—
MD
01
—
613465
MAMSI/MDIPA/OPT. CHOICE
MD
01
—
KFE9CO
BC/BS OF MD
MD
01
—
ZC6139
HEALTHNET
MD
Enumeration date
06/21/2005
Last updated
06/14/2021
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