Healthcare Provider Details

I. General information

NPI: 1114981065
Provider Name (Legal Business Name): ALAN MARK GERINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2006
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W ROGERS AVE
BALTIMORE MD
21215-4131
US

IV. Provider business mailing address

462 NORTHERN PINTAIL PL
HAMPSTEAD NC
28443-5380
US

V. Phone/Fax

Practice location:
  • Phone: 443-970-3608
  • Fax: 949-561-4415
Mailing address:
  • Phone: 443-970-6438
  • Fax: 410-558-6476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberD29143
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberD29143
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: