MEDICARE: GREATER BALTIMORE MEDICAL CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1578385845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER BALTIMORE MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	6701 N. CHARLES STREET
Second Line	:	S. CHAPMAN BUILDING, SUITE 102
City	:	BALTIMORE
State	:	MD
Zip	:	21204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10085 RED RUN BLVD STE 105
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4811
Country	:	US
Telephone Number	:	410-581-7804
Fax Number	:

Authorized Official
Title or Position	:	EVP & CFO
Name	:	LAURIE R BEYER
Credential	:
Telephone Number	:	443-849-2519

Provider Enumeration Date	:	10/29/2024
Last Update Date	:	02/12/2026

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