Molly D Brockett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0003022 Issued in MD

Practice address

2002 Medical Pkwy
Suite 460
Annapolis, MD 21401-3046

Phone

(410) 266-2725

Fax

(410) 224-6793

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbrockett11718@direct.umm.edu

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

• Baltimore Washington Medical Center Inc.

  • General Acute Care Hospital
  • Glen Burnie, MD
  • NPI 1124016696
  Medicare reassignment
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment
• Baltimore Washington Medical Center Inc.

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1831378868
  NPD
• Baltimore Washington Medical Center Inc.

  dba The Right Fit at Baltimore Washington Medical Center

  • Customized Equipment (DME)
  • Glen Burnie, MD
  • NPI 1881799344
  NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD
• Arundel Physicians Associates, LLC

  • Internal Medicine Physician
  • Millersville, MD
  • NPI 1396762274
  NPD (past)
• Clifford T. Solomon, MD

  • Neurological Surgery Physician
  • Annapolis, MD
  • NPI 1073716973
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1295778983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64584",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE 460",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-266-2725",
            "fax_number": "410-224-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKETT",
        "first_name": "MOLLY",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "165783ZEZT",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin D Brimhall, C.R.N.P.
• Rachel Danielle Britt
• Smith Emily Broadwell, LCSW-C
• Olivia Brocato, M.S., LCPC
• Ann Page Brocker
• Andrew Larence Broda
• Bronson Wellness LLC
• Jonathan Samuel Bronson, L. AC.
• Qualandria S Brookens, PSYCH ASSOCIATE
• Taylor Brooks

• Physician Assistant in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.