Paul Taylor Livengood
BRADDOCK MEDICAL GROUP PA


Address: 912 Seton Dr, Cumberland, MD 21502-1818
Phone: 3017223111

Paul Taylor Livengood (NPI# 1275598120, PAC ID# 3971627464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1275598120
PAC ID by PECOS 3971627464
Professional Enrollment ID I20100907000324
Full Name Paul Taylor Livengood
Organization Legal Name BRADDOCK MEDICAL GROUP PA
Address 912 Seton Dr
Cumberland
MD 21502-1818
Phone Number 3017223111
Gender M
Medical School WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1976
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2163419268
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210027 WESTERN MARYLAND REGIONAL MEDICAL CENTER
511315 POTOMAC VALLEY HOSPITAL
511311 HAMPSHIRE MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
912 Seton Dr, Cumberland, MD 21502-1818 3017223111 BRADDOCK MEDICAL GROUP PA
70 Presidents St, Fort Ashby, WV 26719-1150 3042983605 BRADDOCK MEDICAL GROUP PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name BRADDOCK MEDICAL GROUP PA
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Lisa Welch Jenkins Nurse Practitioner Braddock Medical Group Pa 912 Seton Dr, Cumberland, MD 21502-1818
Ashley Golden Nurse Practitioner Braddock Medical Group Pa 912 Seton Dr, Cumberland, MD 21502-1818
Thomas Evan Chappell Internal Medicine Braddock Medical Group Pa 912 Seton Dr, Cumberland, MD 21502-1818

Office Location

Street Address 912 SETON DR
City CUMBERLAND
State MD
Zip 21502-1818

Physicians in the same location

Name Specialty Organization Address
Lisa Welch Jenkins Nurse Practitioner Braddock Medical Group Pa 912 Seton Dr, Cumberland, MD 21502-1818
Ashley Golden Nurse Practitioner Braddock Medical Group Pa 912 Seton Dr, Cumberland, MD 21502-1818
Thomas Evan Chappell Internal Medicine Braddock Medical Group Pa 912 Seton Dr, Cumberland, MD 21502-1818

Physicians in the same zip code

Name Specialty Organization Address
Mary Ann Riley Internal Medicine Western Maryland Health System Corporation 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502
Leah R Kozlowski Physician Assistant Western Maryland Health System Corporation 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502
David K Moose Maxillofacial Surgery Cumberland Oral and Maxillofacial Surgery Associates LLP 1715 Frederick St, Cumberland, MD 21502-1037
Suketu I Patel Maxillofacial Surgery Cumberland Oral and Maxillofacial Surgery Associates LLP 1715 Frederick St, Cumberland, MD 21502-1037
Kenrick Hamilton Roberts Dermatology Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Daniel Brian Herring Dermatology Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Sean Leo Mccagh Dermatology Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Savannah Brown Physician Assistant Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Kaleigh Hahn Physician Assistant Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Natashia M Vanslyke Physician Assistant Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Find all physicians in zip 21502

Competitor

Search similar physicians

City CUMBERLAND
Zip Code 21502
Specialty FAMILY MEDICINE
City + Specialty CUMBERLAND + FAMILY MEDICINE

Improve Information

Please comment or provide details below to improve the information on Paul Taylor Livengood.

Dataset Information

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.

Trending Searches