Healthcare Provider Details

I. General information

NPI: 1548524168
Provider Name (Legal Business Name): BRIA ROSE COLLINS AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 WOOTTON PKWY SUITE 900
ROCKVILLE MD
20852-1059
US

IV. Provider business mailing address

5530 WISCONSIN AVE STE 1540
CHEVY CHASE MD
20815-4321
US

V. Phone/Fax

Practice location:
  • Phone: 301-493-9409
  • Fax:
Mailing address:
  • Phone: 301-907-0002
  • Fax: 301-907-7709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01206
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number01206
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: