Braddock Medical Group
Braddock Medical Group is a healthcare organization registered as Clinical Medical Laboratory in Cumberland, MD, holding Type 2 (organization) NPI 1104901313 since 2006. The authorized official on file is Thomas Chappell, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104901313 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Braddock Medical Group |
| Other name | <Unavail> |
| Practice address | 912 SETON DR, Cumberland, MD, 21502 |
| Phone | 3017223111 |
| Fax | 3017225135 |
| Enumeration date | 2006-10-26 |
| Last updated in NPPES | 2008-09-16 |
Authorized official
| Name | Thomas Chappell |
|---|---|
| Title | Medical Director |
| Phone | 3017223111 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | 830420 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011509001 | Medicaid | WV | — |
Copy-ready billing details
Provider: Braddock Medical Group NPI: 1104901313 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 912 SETON DR, Cumberland, MD, 21502
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558364927 | Thomas Chappell | Individual | Internal Medicine Physician | Cumberland, MD |
| 1114920576 | Gregg Donaldson | Individual | Internal Medicine Physician | Cumberland, MD |
| 1710980081 | Braddock Medical Group P.A. | Organization | Primary Care Clinic/Center | Cumberland, MD |
| 1275598120 | Paul Livengood | Individual | Family Medicine Physician | Cumberland, MD |
Verify this record
Cross-check NPI 1104901313 against the authoritative CMS record: view Braddock Medical Group on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Braddock Medical Group?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2008-09-16.