SEPHORA - BELCAMP
NPI 1962049114
General Practice in Belcamp, MD

Q: What is Medexpress Primary Care Maryland, P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since December 06, 2019

4622 MERCEDES DR, BELCAMP, MD 21017(410) 297-2452(410) 297-2453 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2019, Dec 6, 2019 (2 updates tracked since 2019).

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About Sephora - Belcamp NPPES

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

SEPHORA - BELCAMP (NPI 1962049114) is a healthcare organization registered as a general practice in Belcamp, Maryland and active in the NPI registry since December 2019. The organization lists Brett Gall, Director Payor Contracting, as its authorized official.

NPPES Registry Identity

NPI1962049114

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMEDEXPRESS PRIMARY CARE MARYLAND, P.C.

Location Address4622 MERCEDES DRBelcamp, MD 21017-1223

Mailing Address1001 Consol Energy DrCanonsburg, PA 15317-6506 · (304) 225-2500 · Fax (724) 743-1133

Phone(410) 297-2452

Fax(410) 297-2453

Organization SubpartNo

Authorized OfficialBrett GallDirector Payor Contracting · (304) 225-2500

Enumeration DateDecember 6, 2019

Last NPPES UpdateDecember 18, 20192 updates tracked since enumeration

✔ NPI 1962049114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

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

Also ListedFamily MedicineTaxonomy 207Q00000X

4622 MERCEDES DR, Belcamp, MD 21017

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Other Names 1

Doing Business AsSephora - Belcamp

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Medexpress Primary Care Maryland, P.C.'s NPI number?

The NPI number for Medexpress Primary Care Maryland, P.C. is 1962049114. It was assigned to this organization in the NPPES registry on December 6, 2019. The provider is doing business as Sephora - Belcamp.

Where is Medexpress Primary Care Maryland, P.C. located?

Medexpress Primary Care Maryland, P.C. is located at 4622 Mercedes Dr, Belcamp, MD 21017. The listed phone number is (410) 297-2452.

What is Medexpress Primary Care Maryland, P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Medexpress Primary Care Maryland, P.C. was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.