CENTENNIAL MEDICAL GROUP, PA
NPI 1306477849
General Practice in Gambrills, MD

Active since February 03, 2020
1071 MD RT 3 N STE 101, GAMBRILLS, MD 21054(410) 721-2333 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Practice

About CENTENNIAL MEDICAL GROUP, PA

This page provides the complete NPI Profile along with additional information for Centennial Medical Group, Pa, a primary care provider established in Gambrills, Maryland operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1306477849 assigned on February 2020. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Centennial Medical Group, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ron Elfenbein Md (Medical Director)

NPI
1306477849 Verify this NPI
Provider Name
CENTENNIAL MEDICAL GROUP, PA
Entity Type
Organization
Location Address
1071 MD RT 3 N STE 101 GAMBRILLS, MD 21054
Location Phone
(410) 721-2333
Mailing Address
5005 SIGNAL BELL LN STE 200 CLARKSVILLE, MD 21029
Mailing Phone
(410) 730-3399
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-03-2020
Last Update Date
02-03-2020
Code Navigator

A primary care provider (PCP) like Centennial Medical Group, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RON ELFENBEIN MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(410) 721-2333

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Urgent Care)
1071 MD RT 3 N STE 101
GAMBRILLS, MD 21054
Physician Assistant
1071 MD RT 3 N STE 101
GAMBRILLS, MD 21054
Clinic/Center (Urgent Care)
1071 MD RT 3 N STE 101
GAMBRILLS, MD 21054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306477849, enumerated as an "organization" on February 03, 2020.

The provider is located at 1071 MD RT 3 N STE 101 GAMBRILLS, MD 21054 and the phone number is (410) 721-2333.

General Practice with taxonomy code 208D00000X.