Bernard Mbeboh (NPI# 1215999107, PAC ID# 1254418809) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215999107 |
| PAC ID by PECOS | 1254418809 |
| Professional Enrollment ID | I20080407000153 |
| Full Name | Bernard Mbeboh |
| Organization Legal Name | MDICS AT BON SECOURS LLC |
| Address |
2000 W Baltimore St Baltimore MD 21223-1558 |
| Phone Number | 4439490814 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6901076140 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210013 | BON SECOURS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2000 W Baltimore St, Baltimore, MD 21223-1558 | 4439490814 | MDICS AT BON SECOURS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 38% |
| Organization Legal Name | MDICS AT BON SECOURS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tibebe Haile | Internal Medicine | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Brannon R Marshall | Nurse Practitioner | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Moon Moon Narukonda | Hospitalist | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| William R Hicks | Hospitalist | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Steven H Hamlette | Hospitalist | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Michael T Lawrence | Family Medicine | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Deborah Bohan | Physician Assistant | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Street Address |
2000 W BALTIMORE ST |
| City | BALTIMORE |
| State | MD |
| Zip | 21223-1558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tibebe Haile | Internal Medicine | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Tadele W Alemu | Physician Assistant | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Mohamed S Dauda | Hospitalist | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Shanta H Powell | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Shin-bey Chang | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Susan J Boyd | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Kwang B Lee | Anesthesiology | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Patricia Caraballo Osorio | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Michele C Baxter | Certified Registered Nurse Anesthetist (crna) | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Camellus O Ezeugwu | Internal Medicine | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Homayoon G Moghbeli | Cardiovascular Disease (cardiology) | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Yasmeen G Ahmed | Family Medicine | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Abel B Batuure | Anesthesiology | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Brannon R Marshall | Nurse Practitioner | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Ella M Martin | Physician Assistant | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Athol W Morgan | Cardiovascular Disease (cardiology) | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Branden D Taylor | Nurse Practitioner | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Moon Moon Narukonda | Hospitalist | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Timothy J Low | Critical Care (intensivists) | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Jolie C Diaz | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Find all physicians in zip 21223 | |||
| City | BALTIMORE |
| Zip Code | 21223 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BALTIMORE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bernard Mbeboh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.