Healthcare Provider Details

I. General information

NPI: 1487189122
Provider Name (Legal Business Name): SOUND PHYSICIANS PALLIATIVE CARE OF MARYLAND, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9909 MEDICAL CENTER DR
ROCKVILLE MD
20850-6361
US

IV. Provider business mailing address

5410 MARYLAND WAY SUITE 100
BRENTWOOD TN
37027-5064
US

V. Phone/Fax

Practice location:
  • Phone: 240-864-6000
  • Fax:
Mailing address:
  • Phone: 615-377-5658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BESSLER
Title or Position: PRESIDENT
Credential:
Phone: 253-284-1865