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BAYSIDE PRIMARY CARE LLC
NPI 1093834830
Specialist in Prince Frederick, MD

Active since March 29, 2007CLIA 21D1051159 · Microscopy
301 STEEPLE CHASE DR, STE 103, PRINCE FREDERICK, MD 20678(410) 414-5633(410) 414-5911 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bayside Primary Care Llc NPPES

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

BAYSIDE PRIMARY CARE LLC (NPI 1093834830) is a healthcare organization registered as a specialist in Prince Frederick, Maryland and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through February 22, 2028 and lists Deborah R Brower, Owner, as its authorized official.

NPPES Registry Identity

NPI1093834830
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBAYSIDE PRIMARY CARE LLC
Location Address301 STEEPLE CHASE DR, STE 103Prince Frederick, MD 20678-4049
Mailing Address301 Steeple Chase Dr, Ste 103Prince Frederick, MD 20678-4049 · (410) 414-5633 · Fax (410) 414-5911
Phone(410) 414-5633
Fax(410) 414-5911
Organization SubpartNo
Authorized OfficialDeborah R BrowerOwner · (410) 414-5633
Enumeration DateMarch 29, 2007
Last NPPES UpdateMay 27, 2014
✔ NPI 1093834830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · R126934
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

301 STEEPLE CHASE DR, Prince Frederick, MD 20678
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Other Identifiers 2

Medicaid410114600MD
Medicare UPINP59831MD

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D1051159

Bayside Primary Care · Prince Frederick, MD
Active · expires Feb 22, 2028
CLIA Number21D1051159
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorDeborah R. Brower
Laboratory Phone(410) 414-5633
Laboratory LocationBayside Primary Care489 Main St Ste 102, Prince Frederick, MD 20678
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM LOUIS BRIM PSYD
Psychologist (Clinical)
301 STEEPLE CHASE DR, SUITE 104
PRINCE FREDERICK, MD 20678
Calvert County (410) 570-1163
MARIJO COSMAS MS, RN, AOCN, CRNP
Nurse Practitioner (Acute Care)
301 STEEPLE CHASE DR, SUITE 404
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2811
KARENGA R LEMMONS M.D.
Specialist
301 STEEPLE CHASE DR, STE 103
PRINCE FREDERICK, MD 20678
Calvert County (410) 414-5633
MEDSTAR MEDICAL GROUP II LLC
General Practice
301 STEEPLE CHASE DR
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-7290
CIRCLE OF CARE, LLC
In Home Supportive Care
301 STEEPLE CHASE DR
PRINCE FREDERICK, MD 20678
Calvert County (410) 414-2646
CVM-PRINCE FREDERICK, LLC
Specialist
301 STEEPLE CHASE DR, SUITE 203
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-9282

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 Bayside Primary Care LLC's NPI number?

The NPI number for Bayside Primary Care LLC is 1093834830. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Bayside Primary Care LLC located?

Bayside Primary Care LLC is located at 301 Steeple Chase Dr Ste 103, Prince Frederick, MD 20678. The listed phone number is (410) 414-5633.

What is Bayside Primary Care LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Bayside Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D1051159) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayside Primary Care LLC was last updated on May 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.