Individual provider Active NPI

Maria C Braune, PA-C

  • Surgical Physician Assistant
  • Annapolis, MD
National Provider Identifier
1104375633
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
2000 Medical Pkwy Ste 101
Annapolis, MD 21401-3743
Phone
(410) 268-8862
Fax
(410) 268-0380
NPI assigned
Sep 26, 2016
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020167 NY
Surgical Physician Assistant 363AS0400X CT Primary

Addresses

Primary practice location

2000 Medical Pkwy Ste 101
Annapolis, MD 21401-3743

Mailing address

1 Blachley Road
Floor 2
Stamford, CT 06902-0003
Phone (203) 276-2277

Other practice location 1

1106 Annapolis Rd Ste 130
Odenton, MD 21113-1739
Phone (410) 268-8862

Other practice location 2

4175 N Hanson Ct Ste 301
Bowie, MD 20716-3186
Phone (410) 268-8886

Other practice location 3

4000 Mitchellville Rd
Bowie, MD 20716-3104
Phone (410) 268-8862

Other practice location 4

8109 Ritchie Hwy Ste 200
Pasadena, MD 21122-6904
Phone (410) 268-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201124000539 NJ Practitioner - Physician Assistant 9436410081 Reassigns benefits to 1 organization
I20250508002578 MD Practitioner - Physician Assistant 9436410081 Reassigns benefits to 1 organization
I20250522000024 DC Practitioner - Physician Assistant 9436410081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

1106 Annapolis Rd
Suite 130
Odenton, MD 21113-1739
Phone (410) 268-8862

2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3743
Phone (410) 268-8862

2003 Medical Pkwy
Annapolis, MD 21401-3081

2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020167NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Mar 14, 2025 Accepting new patients
Columbia Doctors of New Jersey, P. C. CurrentSince Sep 20, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 14, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 2, 2025 Accepting new patients

Locations

2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

1106 Annapolis Rd
Ste 130
Odenton, MD 21113
Phone (410) 295-8900

8109 Ritchie Hwy
Ste 200
Pasadena, MD 21122
Phone (410) 553-3500

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

622 W 168th St
Ph 11
New York, NY 10032
Phone (212) 305-4626

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1104375633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACHLEY ROAD",
            "address_2": "FLOOR 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069020003",
            "telephone_number": "203-276-2277",
            "fax_number": "203-276-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013743",
            "telephone_number": "410-268-8862",
            "fax_number": "410-268-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Annapolis Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131739",
            "country_code": "US",
            "telephone_number": "410-268-8862",
            "fax_number": "410-268-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4175 N Hanson Ct Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163186",
            "country_code": "US",
            "telephone_number": "410-268-8886",
            "fax_number": "301-352-0173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Mitchellville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163104",
            "country_code": "US",
            "telephone_number": "410-268-8862",
            "fax_number": "301-352-0173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8109 Ritchie Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211226904",
            "country_code": "US",
            "telephone_number": "410-268-8862",
            "fax_number": "102-680-3804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUNE",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020167",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.