Basic Information
| Provider Information | |||||||||
| NPI: | 1588649487 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | URBAN | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 64577 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212644577 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4434625010 | ||||||||
| FaxNumber: | 4106842031 | ||||||||
| Practice Location | |||||||||
| Address1: | 203 HOSPITAL DR | ||||||||
| Address2: | SUITE B100 | ||||||||
| City: | GLEN BURNIE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210616904 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105538351 | ||||||||
| FaxNumber: | 4105538352 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2005 | ||||||||
| LastUpdateDate: | 05/31/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | D50872 | MD | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 279047 | 01 | KAISER | OTHER | 588600012 | 01 | CAREFIRST | OTHER | V8380001 | 01 | DC | BCBS | OTHER | 543729-09 | 01 | MD | CAREFIRST BC/BS MD RENDER | OTHER | 54372913 | 01 | BCBS MARYLAND | OTHER | 54372914 | 01 | MD | BCBS | OTHER | 54372910 | 01 | BCBS | OTHER | V8740007 | 01 | DC | BCBS | OTHER | 031156 | 01 | JOHNS HOPKINS HEALTHCARE | OTHER | P17316 | 01 | MD | CAREFIRST BC/BS POS | OTHER | V8080001 | 01 | DC | BCBS | OTHER | 139011200 | 05 | MD | MEDICAID | 54372911 | 01 | BCBS | OTHER |