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Premier Physician Group, LLC

Surgery Physician in Bethesda, MD · enumerated 2008 · authorized official Matthew Poffenroth, President / Ceo.

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

National Provider Identifier

1801064704

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Physician Group, LLC
Practice address 6430 Rockledge Drive, Suite 470, Bethesda, MD, 20817
Fax (301) 581-0077
Enumeration date Feb 13, 2008
Last updated in NPPES Nov 13, 2008

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians Secondary
231H00000X Audiologist Speech, Language and Hearing Service Providers Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Matthew Poffenroth
Title President / Ceo

Other identifiers

Identifier Type State Issuer
415096100 Medicaid MD -

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

Where is Premier Physician Group, LLC located?
The practice location on file with NPPES is in Bethesda, MD.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-11-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-13.