Healthcare Provider Details

I. General information

NPI: 1154270262
Provider Name (Legal Business Name): GREATER BALTIMORE MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 PLUMTREE RD STE F
BEL AIR MD
21015-6056
US

IV. Provider business mailing address

6545 N CHARLES ST STE 102
BALTIMORE MD
21204-6836
US

V. Phone/Fax

Practice location:
  • Phone: 410-296-1661
  • Fax: 410-296-1739
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA CAMPBELL
Title or Position: VP FINANCE AND REIMBURSEMENT
Credential:
Phone: 443-849-3844