Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Branch Health Care

Organization Family Medicine Physician · NPI 1366736779

Old Branch Health Care is a Family Medicine Physician in Temple Hills, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011
Specialties on file
4

Practice location Address checks out

4333 Old Branch Ave
Temple Hills, MD 20748-1848
Phone: (301) 899-5140
Fax: (301) 899-5153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence DD36306 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence D0054991 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence D0046312 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence D0019935 (MD)

Record details

NPI number1366736779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrie Ballenger — Administrator · (301) 899-5140
NPI enumeratedJune 2, 2011
Last updated in NPPESJune 2, 2011
Mailing addressPo Box 6396, Largo, MD 20792-6396

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