OrganizationActive
Aesthetics & Body Lab
NPI 1356105241 · Family Medicine Physician · Columbia, MD
Provider details
- NPI number
- 1356105241
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Keisha Bernard, Owner(240) 328-2015
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9650 Santiago Rd Ste 7
Columbia, MD 21045-3960
Phone: (301) 309-7307
Fax: (301) 238-8039
Street-level locationGet directions
Mailing address
9650 Santiago Rd Ste 7
Columbia, MD 21045-3960
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-02-12
- Certified
- 2024-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.