Healthcare Provider Details

I. General information

NPI: 1790789766
Provider Name (Legal Business Name): NELSON H HENDLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 GREENSPRING VALLEY RD
STEVENSON MD
21153-0642
US

IV. Provider business mailing address

1718 GREENSPRING VALLEY RD
STEVENSON MD
21153-0642
US

V. Phone/Fax

Practice location:
  • Phone: 410-653-2403
  • Fax: 410-653-6165
Mailing address:
  • Phone: 410-653-2403
  • Fax: 410-653-6165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberD0015330
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0015330
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberD0015330
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: