MEDICARE: DR. ANGELA LOUISE EMMONS BRULE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD16179	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CS8802239	OTHER	DC	CONTROLLED SUBSTANCE

General Provider Information

NPI Number	:	1972552735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA LOUISE EMMONS BRULE M.D.

Provider Business Mailing Address
First Line	:	12518 WOODSONG LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-4224
Country	:	US
Telephone Number	:	301-646-8999
Fax Number	:	301-218-0634

Provider Business Practice Location Address
First Line	:	2041 GEORGIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20060-0001
Country	:	US
Telephone Number	:	202-865-1141
Fax Number	:	202-865-4492

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	05/11/2026

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