BELMONT FAMILY PRACTICE, INC.
NPI 1073063715
Nurse Practitioner - Family in Salisbury, MD

Active since October 06, 2016
1346 BELMONT AVE STE 602, SALISBURY, MD 21804(443) 978-7317(443) 736-4080 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2022, Dec 15, 2020, Jul 1, 2020 (3 updates tracked since 2020).

About Belmont Family Practice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELMONT FAMILY PRACTICE, INC. (NPI 1073063715) is a healthcare organization registered as a family in Salisbury, Maryland and active in the NPI registry since October 2016. The organization lists Donna Marie Gray, President, as its authorized official.

NPPES Registry Identity

NPI1073063715
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBELMONT FAMILY PRACTICE, INC.
Location Address1346 BELMONT AVE STE 602Salisbury, MD 21804-4589
Mailing Address1346 Belmont Ave Ste 602Salisbury, MD 21804-4589 · (410) 726-1798 · Fax (443) 736-4080
Fax(443) 736-4080
Organization SubpartNo
Authorized OfficialDonna Marie GrayPresident · (443) 978-7317
Enumeration DateOctober 6, 2016
Last NPPES UpdateDecember 15, 20223 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1073063715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1346 BELMONT AVE STE 602, Salisbury, MD 21804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Belmont Family Practice, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Belmont Family Practice, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1821748997
1346 BELMONT AVE STE 602
Salisbury, MD 21804
(443) 978-7317
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437482346
1346 BELMONT AVE STE 602
Salisbury, MD 21804
(443) 978-7317
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063909398
9715 HEALTHWAY DR
Berlin, MD 21811
(410) 548-2343
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Belmont Family Practice, Inc.'s NPI number?

The NPI number for Belmont Family Practice, Inc. is 1073063715. It was assigned to this organization in the NPPES registry on October 6, 2016.

Where is Belmont Family Practice, Inc. located?

Belmont Family Practice, Inc. is located at 1346 Belmont Ave Ste 602, Salisbury, MD 21804. The listed phone number is (443) 978-7317.

What is Belmont Family Practice, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Belmont Family Practice, Inc. enrolled in Medicare?

Yes. Belmont Family Practice, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Belmont Family Practice, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Belmont Family Practice, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Belmont Family Practice, Inc. was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.