It features a square bell tower and an octagonal white "cupola-on-cupola", with much of the original wavy, hand-blown glass window panes still remaining.

That same year, the first Conference of United Brethren preachers was held and resulted in the official organization of the Church of the United Brethren in Christ, with Pastor Philip William Otterbein, (1726–1813) as a bishop (five years after he participated in the "laying on" of hands on famous evangelist and missionary Francis Asbury, (1745–1816), ordained as the first bishop of the new Methodist Episcopal Church.

In the late 1970s, the spared rowhouses were offered up to prospective "urban homesteaders" for the famous "dollar a house" and were gradually renovated, updated and restored with additional homes and "row-house-like" apartments and condos constructed in between the older housing fabric, resulting in "Otterbein now being one of Baltimore's showcase neighborhoods visited now by thousands of tourists who stroll its now tree-shaded streets every week-end.

Additional renovations and restorations have spread further southeast to the historically ancient black community of "Sharp-Leadenshall" (named for the two intersecting streets), which also had some new housing complexes built that have held their value in the decades since.

To the west end of these substantially changed areas is the new "inner beltway" around downtown of the landscaped parkway of Martin Luther King, Jr. Boulevard connecting into Russell Street extending into the Baltimore–Washington Parkway of Interstate 295 and running parallel to Interstate 395, which both exiting the downtown district of the city to the southwest alongside the other western end of the Camden Yards baseball and football stadiums, which crowd the surrounding streets near the church with sports fans several times a week in season.

The congregation played an important part in the early days and the organization of several American Protestant denominations at the end of the Eighteen century and the start of the Nineteenth.

[1] With the creation in the mid 2000s of the new BaltimoreCity National Heritage numerous large plaques with illustrations and text have been posted around the downtown area along with a simultaneous publication of a map and brochure plus internet website, with tour guides leading various themed tours from the "Inner Harbor" visitors center pavilion, with prominent places published about the Old Otterbein Church and its structure and religious heritage.