Healthcare Provider Details

I. General information

NPI: 1528989720
Provider Name (Legal Business Name): REEVES & BAUDER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9043 SHADY GROVE CT
GAITHERSBURG MD
20877-1301
US

IV. Provider business mailing address

9043 SHADY GROVE CT
GAITHERSBURG MD
20877-1301
US

V. Phone/Fax

Practice location:
  • Phone: 240-288-3000
  • Fax: 571-367-5005
Mailing address:
  • Phone: 240-288-3000
  • Fax: 571-367-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TANYA WARD
Title or Position: SENIOR OFFICE MANAGER
Credential:
Phone: 571-248-5191