=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275050890
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MONICA BREWER ACUPUNCTURIST
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2017
-----------------------------------------------------
Last Update Date | 08/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7135 MINSTREL WAY STE 204-A30
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21045-5255
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-720-0210
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12975 HIGHLAND RD UNIT 113
-----------------------------------------------------
City | HIGHLAND
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20777-9998
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-720-0210
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | U02444
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------