BERNICE BURROUGHS (NPI# 1003262171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003262171 |
| Entity Type | Individual |
| Full Name | BERNICE BURROUGHS |
| Credential | LMT |
| Practice Address |
90 Holiday Drive, Suite D3 Solomons MD 20688 |
| Mailing Address |
4650 Hallowing Point Rd Prince Frederick MD 20678-3433 |
| Practice Telephone | 4104744841 |
| Mailing Telephone | 4104744841 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | M05618 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
90 HOLIDAY DRIVE, SUITE D3 |
| City | SOLOMONS |
| State | MD |
| Zip Code | 20688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740754001 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14090 Hg Trueman Rd Ste 1100, Solomons, MD 20688 | 2019-01-18 |
| 1568982981 | Jordan Clinton King | Chiropractor | 14350 Solomos Island Road, Suite #103a, Solomons, MD 20688 | 2017-06-27 |
| 1770027260 | Southern Maryland Myofascial Release, Inc. | Physical Therapist | 90 Holiday Drive, Suite C and D1, Solomons, MD 20688 | 2016-12-19 |
| 1780001982 | Kathleen Arban | Social Worker | 14350 Solomons Island Rd. Suite 202, Solomons, MD 20688 | 2014-03-25 |
| 1902175599 | Anne Dennen Etzkorn | Dentist | 14532 Solomons Island Rd, Solomons, MD 20688 | 2011-12-28 |
| 1851532204 | L. Steven Berns, Lcsw-c, Ltd | Social Worker | The Avondale Center, Suite 1244, Solomons, MD 20688 | 2009-03-16 |
| 1285879759 | Joyce Gradle | Counselor | 14350 Solomons Island Rd., Solomons, MD 20688 | 2008-12-11 |
| 1356510713 | The Training Room Inc | Durable Medical Equipment & Medical Supplies | 14090 H G Trueman Rd, Solomons, MD 20688 | 2008-02-29 |
| 1194923011 | Shah Associates Md LLC | Internal Medicine | 14090 H G Trueman Rd, Ste, Solomons Medical Center, Solomons, MD 20688 | 2007-07-03 |
| 1487785242 | Louis Steven Berns | Social Worker | 14350 South Solomons Island Rd, Solomons, MD 20688 | 2007-03-07 |
| Find all providers in zip 20688 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467606 | Paul Clark Kimball | Massage Therapist | 3631 Martins Dairy Cir, Olney, MD 20832-2451 | 2020-11-04 |
| 1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
| 1609476209 | Edward Drew Welch | Massage Therapist | 1812 Baltimore Blvd Ste E, Westminster, MD 21157-7144 | 2020-11-01 |
| 1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
| 1457950305 | Aj Denzel Henry | Massage Therapist | 44 Polk St, Aberdeen, MD 21001-2589 | 2020-10-21 |
| 1316545916 | Chanin D Storm | Massage Therapist | 1719 Woodruff Way, Frederick, MD 21701-2514 | 2020-10-15 |
| 1164020756 | Brighid Rose Satori | Massage Therapist | 8018 Brightwood Ct, Ellicott City, MD 21043-7932 | 2020-10-15 |
| 1740887496 | Ariel Bailey | Massage Therapist | 3600 Northway Dr, Baltimore, MD 21234-7927 | 2020-10-06 |
| 1235736877 | Janthima Sapadith | Massage Therapist | 834 Waterford Dr, Frederick, MD 21702-4088 | 2020-10-06 |
| 1205433372 | Shengchao Qiang | Massage Therapist | 751 Sligo Ave, Silver Spring, MD 20910-4729 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.