Organization
BAY AREA ORTHOPAEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BROWN (PHYSICIAN/OWNER)
(410) 768-5050
Entity
Organization
Contact information
Practice address
1521 RITCHIE HWY, SUITE 201, ARNOLD, MD 21012-2703
(410) 544-6038
(410) 349-9940
Mailing address
1600 CRAIN HWY S, SUITE 401, GLEN BURNIE, MD 21061-5577
(410) 768-5050
(410) 768-7830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MD
332B00000X
Durable Medical Equipment & Medical Supplies
—
MD
335E00000X
Prosthetic/Orthotic Supplier
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408171400
—
MD
01
—
6831
BLUE SHIELD OF DC
MD
01
—
CE3238
RAILROAD MEDICARE
MD
01
—
KE66BA
BLUE SHIELD OF MARYLAND
MD
Enumeration date
01/30/2007
Last updated
04/21/2014
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