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

Individual provider Internal Medicine Physician · NPI 1063674174

Dr. Greg Mark Booth, MDPHD is an Internal Medicine in Hampstead, Maryland. Graduated from Jefferson Medical College of Thomas Jefferson University in 2003, 23 years ago. Practices with Agape Physical Therapy and Sports Rehabilitation LP, a 677-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
23
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
MD
In the registry since
2008
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Practice location Address checks out

4231 N Woods Trl
Hampstead, MD 21074-3128
Phone: (410) 374-9391
Fax: (410) 871-7967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0077059 (MD)

Record details

NPI number1063674174
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJune 30, 2008
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address4231 N Woods Trl, Hampstead, MD 21074-3128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Agape Physical Therapy And Sports Rehabilitation Lp — 677 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Hampstead