DR. BRYCE MATTHEW CHURILLA MD
NPI 1982279550
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Q: What is Bryce Churilla's NPI number?

The NPI number for Bryce Churilla is 1982279550. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Q: What is Bryce Churilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bryce Churilla was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 25, 2021PECOS Enrolled

4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-3350 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bryce Matthew Churilla Md NPPES

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

DR. BRYCE MATTHEW CHURILLA MD (NPI 1982279550) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982279550

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BRYCE MATTHEW CHURILLACredential: MD

Location Address4940 EASTERN AVEBaltimore, MD 21224-2735

Mailing Address4940 Eastern AveBaltimore, MD 21224-2735 · (410) 550-3350

Phone(410) 550-3350

Sole ProprietorNo

Enumeration DateMay 25, 2021

NPPES CertifiedMay 25, 2021

✔ NPI 1982279550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4940 EASTERN AVE, Baltimore, MD 21224

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryce Matthew Churilla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. SUSRUTHA KOTWAL MD

Internal Medicine

4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224

Baltimore City (410) 550-5018

DR. SAMANTHA A WOLFE MD

Otolaryngology