Healthcare Provider Details

I. General information

NPI: 1790620615
Provider Name (Legal Business Name): BROWN BEAR PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1799 STILLVIEW ACRES RD
DAVIDSONVILLE MD
21035
US

IV. Provider business mailing address

1799 STILLVIEW ACRES RD
DAVIDSONVILLE MD
21035-2053
US

V. Phone/Fax

Practice location:
  • Phone: 410-402-5722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNA BROWNSTEIN
Title or Position: OWNER/PHYSICIAN
Credential: DO
Phone: 410-402-5722