Organization
COMPREHENSIVE NEUROLOGY AND SLEEP MEDICINE, P.A.
Active
Other names
Konrad W. Bakker, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
WILLA SHRIVER (PRACTICE MANAGER)
(301) 694-0900
Entity
Organization
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
Primary
D0035322
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306711010
CIGNA
MD
01
—
237074
ANTHEM HEALTHKEEPERS
VA
01
—
237076
ANTHEM BC/BS
VA
01
—
3327089
AETNA HMO
MD
01
—
3473625
ATENA HMO
VA
01
—
372721
MAMSI/MDIPA/OC DME
ME
01
—
372721
MAMSI/MDIPA/OC DME
VA
01
—
4137505
AETNA PPO/MC/EPO
MD
01
—
495169
NCPPO
MD
01
—
500310
UNITED HEALTHCARE
MD
01
—
5113
BLUE CROSS BLUE SHEILD
DC
05
—
526711100
—
MD
01
—
613465
MAMSI/MDIPA/OPT.CHOICE
MD
01
—
KFE9CO
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/22/2005
Last updated
05/03/2012
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