Healthcare Provider Details

I. General information

NPI: 1881741775
Provider Name (Legal Business Name): DANIEL BECKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 YORK RD STE 508
LUTHERVILLE MD
21093-6022
US

IV. Provider business mailing address

1447 YORK RD STE 508
LUTHERVILLE MD
21093-6022
US

V. Phone/Fax

Practice location:
  • Phone: 410-828-4629
  • Fax: 410-828-4783
Mailing address:
  • Phone: 314-369-3574
  • Fax: 410-828-4783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License NumberD0066385
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0066385
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: