Provider Demographics
NPI:1588649487
Name:URBAN, BARBARA P (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:P
Last Name:URBAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64577
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4577
Mailing Address - Country:US
Mailing Address - Phone:443-462-5010
Mailing Address - Fax:410-684-2031
Practice Address - Street 1:203 HOSPITAL DR
Practice Address - Street 2:SUITE B100
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6904
Practice Address - Country:US
Practice Address - Phone:410-553-8351
Practice Address - Fax:410-553-8352
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD50872207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
279047OtherKAISER
588600012OtherCAREFIRST
DCV8380001OtherBCBS
MD543729-09OtherCAREFIRST BC/BS MD RENDER
54372913OtherBCBS MARYLAND
MD54372914OtherBCBS
54372910OtherBCBS
DCV8740007OtherBCBS
031156OtherJOHNS HOPKINS HEALTHCARE
MDP17316OtherCAREFIRST BC/BS POS
DCV8080001OtherBCBS
MD139011200Medicaid
54372911OtherBCBS
K313129903ZAD2Medicare PIN
129903Y5ZMedicare PIN
54372911OtherBCBS
031156OtherJOHNS HOPKINS HEALTHCARE
54372910OtherBCBS
MD54372914OtherBCBS
279047OtherKAISER
MDG32012Medicare UPIN
129903ZAD2Medicare PIN