NPIMap

Individual provider Active NPI

Monica Bruney, PA

  • Physician Assistant
  • Hanover, MD
National Provider Identifier
1245854348
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007928 Issued in MD
Practice address
7250 Parkway Dr Ste 500
Hanover, MD 21076-1343
Phone
(443) 949-0814
NPI assigned
Jun 4, 2020
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 9644 GA
Physician Assistant 363A00000X C0007928 MD Primary

Addresses

Primary practice location

7250 Parkway Dr Ste 500
Hanover, MD 21076-1343

Mailing address

962 Wayne Ave Ste 250
Silver Spring, MD 20910-4433
Phone (551) 295-8223

Other practice location 1

101 Preston Ct Ste 103
Macon, GA 31210-5771
Phone (478) 745-2385

Other practice location 2

39 V St NE
Washington, DC 20002-1329
Phone (551) 295-8223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220719000488 MD Practitioner - Physician Assistant 2961824230 Reassigns benefits to 4 organizations
I20220722001159 DC Practitioner - Physician Assistant 2961824230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

39 V St NE
Washington, DC 20002-1329
Phone (862) 812-9010

8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683
Phone (973) 435-9463

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9644GAMDPediatric Dentist
C0007928MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical First P.a. CurrentSince Jan 19, 2026 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Oct 17, 2025 Accepting new patients
Ennoble HC DMV III LLC CurrentSince Oct 27, 2025 Accepting new patients

Locations

8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

962 Wayne Ave
Ste 250
Silver Spring, MD 20910
Phone (240) 744-0001

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1245854348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 WAYNE AVE STE 250",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104433",
            "telephone_number": "551-295-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DR STE 500",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761343",
            "telephone_number": "443-949-0814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Preston Ct Ste 103",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312105771",
            "country_code": "US",
            "telephone_number": "478-745-2385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 V St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200021329",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNEY",
        "first_name": "MONICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9644",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.