Healthcare Provider Details

I. General information

NPI: 1477753002
Provider Name (Legal Business Name): TONYA FAY KATCHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONYA FAY BRAKEY MD

II. Dates (important events)

Enumeration Date: 07/22/2007
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 KNOLL NORTH DR STE 370
COLUMBIA MD
21045-2393
US

IV. Provider business mailing address

1111 N CHARLES ST
BALTIMORE MD
21201-5505
US

V. Phone/Fax

Practice location:
  • Phone: 410-837-2050
  • Fax:
Mailing address:
  • Phone: 410-837-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD039518
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD71525
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: