Healthcare Provider Details

I. General information

NPI: 1851179311
Provider Name (Legal Business Name): MONICA ABRAHAM BRALAND PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2448 HOLLY AVE STE 102
ANNAPOLIS MD
21401-8538
US

IV. Provider business mailing address

20501 SENECA MEADOWS PKWY STE 200
GERMANTOWN MD
20876-7018
US

V. Phone/Fax

Practice location:
  • Phone: 443-909-5718
  • Fax: 866-701-4905
Mailing address:
  • Phone: 227-250-0255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0009570
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: