Provider Demographics
NPI:1235802489
Name:BB'S ALLCARE LLC
Entity Type:Organization
Organization Name:BB'S ALLCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PCP
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDIE
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:BARTOS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, MSN
Authorized Official - Phone:443-536-5712
Mailing Address - Street 1:12820 FOREST CREEK CT
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-5526
Mailing Address - Country:US
Mailing Address - Phone:443-536-5712
Mailing Address - Fax:
Practice Address - Street 1:6220 GEORGETOWN BLVD STE C
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6417
Practice Address - Country:US
Practice Address - Phone:443-536-5712
Practice Address - Fax:833-906-2570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-25
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1780256297OtherFNP