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Braddock Medical Group P.A.

Primary Care Clinic/Center in Cumberland, MD · enumerated 2005 · authorized official Paul Livengood, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710980081

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Registry record

Entity type Organization (Type 2)
Legal business name Braddock Medical Group P.A.
Practice address 912 Seton Dr, Cumberland, MD, 21502
Phone (301) 722-3111
Fax (301) 722-5135
Enumeration date May 31, 2005
Last updated in NPPES Mar 21, 2023

Taxonomy & classification

171W00000X Contractor Other Service Providers Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Paul Livengood
Title Owner
Phone (301) 722-3111

Other identifiers

Identifier Type State Issuer
00874296 Medicaid PA -
910291400 Medicaid MD -
6216720003 Other - CIGNA
H529 Other - MEDICARE GROUP ID
0011509000 Medicaid WV -

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.

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Frequently asked questions

Who is the authorized official for Braddock Medical Group P.A.?
NPPES lists Paul Livengood (Owner) as the authorized official for this organization.
What is the NPI number for Braddock Medical Group P.A.?
The NPI for Braddock Medical Group P.A. is 1710980081, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-21.