MEDICARE: BLACK ROCK INTEGRATIVE MEDICINE

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1770418444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLACK ROCK INTEGRATIVE MEDICINE

Provider Business Mailing Address
First Line	:	120 N POTOMAC ST
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-4810
Country	:	US
Telephone Number	:	301-790-4938
Fax Number	:

Provider Business Practice Location Address
First Line	:	5705 INDUSTRY LN STE 125
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-5163
Country	:	US
Telephone Number	:	301-790-4938
Fax Number	:	866-441-1174

Authorized Official
Title or Position	:	OWNER
Name	:	SHERI LYNN DENHAM
Credential	:
Telephone Number	:	301-790-4938

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

Similar Medicare Providers

1538095591 — BLACK ROCK INTEGRATIVE MEDICINE
Practice Location Address:

5705 INDUSTRY LN STE 125
FREDERICK, MD
21704-5163

Practice Phone: 301-790-4938
Practice Fax: 866-441-1174

1841593548 — DR. MARC J TEITELBAUM M.D.
Practice Location Address:

5705 INDUSTRY LN , ROOM 251
FREDERICK, MD
21704-5163

Practice Phone: 301-228-4707
Practice Fax:

1639612914 — DR. KWAKU AWUAH
Practice Location Address:

1012 PETWORTH WAY
FREDERICK, MD
21702-5163

Practice Phone: 909-568-1273
Practice Fax:

1942095633 — PAOLA CONSUELO RIOS
Practice Location Address:

1008 PETWORTH WAY
FREDERICK, MD
21702-5163

Practice Phone: 301-788-4094
Practice Fax: 301-788-4094

1760317622 — UNITY HEALTHCARE SERVICES, LLC
Practice Location Address:

5100 BUCKEYSTOWN PIKE STE 250
FREDERICK, MD
21704-8344

Practice Phone: 443-529-6015
Practice Fax:

1629904701 — OMAPIX, INC.
Practice Location Address:

5107 PEGASUS CT STE G
FREDERICK, MD
21704-8343

Practice Phone: 301-615-8284
Practice Fax:

Directions to “BLACK ROCK INTEGRATIVE MEDICINE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.