Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

University of Maryland Community Medical Group, Inc

Organization Family Medicine Physician · NPI 1053221481

University of Maryland Community Medical Group, Inc provides Family Medicine Physician services in Brandywine, Maryland. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15802 Crain Hwy Ste 15908F
Brandywine, MD 20613
Phone: (301) 609-4071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1053221481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nicholson — Senior Vice President · (410) 337-1602
NPI enumeratedSeptember 9, 2026
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 8, 2026
Mailing address900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924

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