EASTERN SHORE PRIMARY CARE PRACTICE LLC
NPI 1245910579
Family Medicine - Adult Medicine in Chestertown, MD

Q: What is Eastern Shore Primary Care Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since July 21, 2023CLIA 21D2289485 · Waiver

7416 CHURCH HILL RD STE 2, CHESTERTOWN, MD 21620(410) 498-4848 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 20, 2023, Jul 21, 2023 (2 updates tracked since 2023).

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About Eastern Shore Primary Care Practice Llc NPPES

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

EASTERN SHORE PRIMARY CARE PRACTICE LLC (NPI 1245910579) is a healthcare organization registered as an adult medicine in Chestertown, Maryland and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Lauren M Bruneio, Owner, as its authorized official.

NPPES Registry Identity

NPI1245910579

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameEASTERN SHORE PRIMARY CARE PRACTICE LLC

Location Address7416 CHURCH HILL RD STE 2Chestertown, MD 21620-2808

Mailing Address7416 Church Hill Rd Ste 2Chestertown, MD 21620-2808 · (410) 498-4848

Phone(410) 498-4848

Organization SubpartNo

Authorized OfficialLauren M BruneioOwner · (570) 872-4533

Enumeration DateJuly 21, 2023

Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2024

✔ NPI 1245910579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

7416 CHURCH HILL RD STE 2, Chestertown, MD 21620

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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 of Waiver 21D2289485

Eastern Shore Primary Care Practice LLC · Chestertown, MD

Active · expires Sep 11, 2027

CLIA Number21D2289485

Laboratory TypePhysician Office

Certificate Effective DateSeptember 12, 2025

Certificate Expiration DateSeptember 11, 2027

Laboratory DirectorLauren Bruneio

Laboratory Phone(410) 498-4848

Laboratory LocationEastern Shore Primary Care Practice LLC7416 Church Hill Road Suite 2, Chestertown, MD 21620

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Eastern Shore Primary Care Practice LLC's NPI number?

The NPI number for Eastern Shore Primary Care Practice LLC is 1245910579. It was assigned to this organization in the NPPES registry on July 21, 2023.

Where is Eastern Shore Primary Care Practice LLC located?

Eastern Shore Primary Care Practice LLC is located at 7416 Church Hill Rd Ste 2, Chestertown, MD 21620. The listed phone number is (410) 498-4848.

What is Eastern Shore Primary Care Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Eastern Shore Primary Care Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2289485) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Shore Primary Care Practice LLC was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.