Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centennial Medical Group, PA

Organization General Practice Physician · NPI 1306477849

Centennial Medical Group, PA provides General Practice Physician services in Gambrills, Maryland. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1071 Md Rt 3 N Ste 101
Gambrills, MD 21054-1784
Phone: (410) 721-2333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1306477849
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentennial Medical Group
Authorized official Ron Elfenbein — Medical Director · (410) 721-2333
Other names Centennial Medical Group
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020
Mailing address5005 Signal Bell Ln Ste 200, Clarksville, MD 21029-2608

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