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NPI 1669985248 · Geriatric Medicine (Family Medicine) Physician · Bowie, MD
Provider details
- NPI number
- 1669985248
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dawne Carroll, Medical Director(301) 818-1243
- License
- D00042719 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
14408 Woodmore Oaks Ct
Bowie, MD 20721-1910
Phone: (301) 818-1243
Fax: (240) 435-2692
Street-level locationGet directions
Mailing address
12138 Central Ave # 953
Bowie, MD 20721-1910
Registry dates
- Enumerated
- 2017-11-06
- Last updated
- 2023-04-20
- Certified
- 2023-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.