Healthcare Provider Details

I. General information

NPI: 1245854348
Provider Name (Legal Business Name): MONICA BRUNEY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7250 PARKWAY DR STE 500
HANOVER MD
21076-1343
US

IV. Provider business mailing address

962 WAYNE AVE STE 250
SILVER SPRING MD
20910-4433
US

V. Phone/Fax

Practice location:
  • Phone: 443-949-0814
  • Fax:
Mailing address:
  • Phone: 551-295-8223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9644
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0007928
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: