1710980081 BRADDOCK MEDICAL GROUP P.A.

Primary Care Clinic/Center

Active

Basic Information

Organization Name
BRADDOCK MEDICAL GROUP P.A.
Enumeration Date
May 31, 2005
Last Update
March 21, 2023
Authorized Official
DR. PAUL TAYLOR LIVENGOOD
OWNER
Phone: (301) 722-3111

Practice Location

Address
912 SETON DR
CUMBERLAND, MD 215021818
Phone
(301) 722-3111
Fax
(301) 722-5135

Mailing Address

Address
912 SETON DR
CUMBERLAND, MD 215021818
Phone
(301) 722-3111
Fax
(301) 722-5135

Specialties & Taxonomies

Specialty Code Classification License State Primary
Contractor
171W00000X Contractor N/A N/A No
Primary Care Clinic/Center
Primary Care
261QP2300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
00874296 05 PA N/A
910291400 05 MD N/A
6216720003 01 N/A CIGNA
H529 01 N/A MEDICARE GROUP ID
0011509000 05 WV N/A

Additional Practice Locations

912 Seton Dr
Cumberland, MD 215021818

Phone: (301) 722-3111 ext. 107

Fax: (301) 722-5135

Frequently Asked Questions

What is BRADDOCK MEDICAL GROUP P.A.'s NPI number?
BRADDOCK MEDICAL GROUP P.A.'s NPI number is 1710980081.
Which doctor has NPI number 1710980081?
The doctor with NPI number 1710980081 is BRADDOCK MEDICAL GROUP P.A..
What is BRADDOCK MEDICAL GROUP P.A.'s practice address?
BRADDOCK MEDICAL GROUP P.A.'s practice address is 912 SETON DR, CUMBERLAND, MD, 215021818.
Which doctor practices at 912 SETON DR, CUMBERLAND, MD, 215021818?
BRADDOCK MEDICAL GROUP P.A. practices at 912 SETON DR, CUMBERLAND, MD, 215021818.
What is BRADDOCK MEDICAL GROUP P.A.'s phone number?
BRADDOCK MEDICAL GROUP P.A.'s phone number is (301) 722-3111.
Who is (301) 722-3111?
(301) 722-3111 is the phone number for BRADDOCK MEDICAL GROUP P.A..
What is BRADDOCK MEDICAL GROUP P.A.'s specialty?
BRADDOCK MEDICAL GROUP P.A.'s specialty is Primary Care Clinic/Center.
What type of doctor is BRADDOCK MEDICAL GROUP P.A.?
BRADDOCK MEDICAL GROUP P.A. is a Primary Care Clinic/Center.
Is BRADDOCK MEDICAL GROUP P.A. a Primary Care?
Yes, BRADDOCK MEDICAL GROUP P.A. is a Primary Care.
Is BRADDOCK MEDICAL GROUP P.A. still practicing?
Yes, BRADDOCK MEDICAL GROUP P.A. is currently practicing.
Is BRADDOCK MEDICAL GROUP P.A. accepting new patients?
BRADDOCK MEDICAL GROUP P.A. may be accepting new patients. Please call their office at (301) 722-3111 to inquire about availability.
Is NPI 1710980081 still active?
Yes, NPI 1710980081 is currently active.
Where does BRADDOCK MEDICAL GROUP P.A. practice?
BRADDOCK MEDICAL GROUP P.A. practices in CUMBERLAND, MD.