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NPI Code Detail

MEDICARE: BRENT J BAUER MD

MEDICARE: BRENT J BAUER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0801XOrthopaedic Trauma PhysicianN3488TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N3488OTHERTXLICENSE
2BP2-0018483OTHERINSTITUTIONAL PERMIT
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033312632
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENT J BAUER MD
Provider Business Mailing Address
First Line : PO BOX 64134
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4134
Country : US
Telephone Number : 667-214-2714
Fax Number : 410-448-6926
Provider Business Practice Location Address
First Line : 901 HARRY S TRUMAN DR N
Second Line :
City : LARGO
State : MD
Zip : 20774-5477
Country : US
Telephone Number : 410-448-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2007
Last Update Date : 08/29/2025

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