| Dr Kevin Bryce Blumenthal, MD | |
|
10710 Charter Dr, Suite 130, Columbia, MD 21044-3128 | |
| (410) 772-7000 | |
| (410) 772-7072 |
| Full Name | Dr Kevin Bryce Blumenthal |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 10710 Charter Dr, Columbia, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215182662 | NPI | - | NPPES |
| 547813800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD037201 (District Of Columbia) | Secondary |
| 208800000X | Urology | D0068542 (Maryland) | Primary |
| Entity Name | Chesapeake Urology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700153921 PECOS PAC ID: 4789673393 Enrollment ID: O20111216000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Bryce Blumenthal, MD 25 Crossroads Drive, Suite 306, Owings Mills, MD 21117 Ph: (443) 738-2872 | Dr Kevin Bryce Blumenthal, MD 10710 Charter Dr, Suite 130, Columbia, MD 21044-3128 Ph: (410) 772-7000 |
Dr. Alejandro Rodriguez, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite 130, Columbia, MD 21044 Phone: 410-772-7000 Fax: 410-772-7072 | |
Jennifer L Bepple, MD Urology Medicare: Medicare Enrolled Practice Location: 10710 Charter Dr., Suite 130, Columbia, MD 21044 Phone: 410-772-7000 Fax: 410-772-7089 | |
Dr. John Joseph Kishel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite 130, Columbia, MD 21044 Phone: 410-772-7000 Fax: 410-772-7072 | |
Katherine Smentkowski, Urology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr Ste 130, Columbia, MD 21044 Phone: 800-953-3111 | |
Robert Adam Goldfarb, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr Ste 130, Columbia, MD 21044 Phone: 410-772-7000 | |
Dr. Robert Anton Gessler, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 10710 Charter Dr, Suite 130, Columbia, MD 21044 Phone: 410-772-7000 Fax: 410-772-7072 |