Heather Lynne Brown, PAC
Individual provider Active NPI Physician Assistant · West River, MD
NPI 1689639445 · NPPES record last updated Sep 22, 2015
Key facts
- NPI
- 1689639445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C 2302 (MD)
- Practice address
- 134 Owensville Rd
West River, MD 20778-9998 - Phone
- (410) 867-4700
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C 2302 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contee Emergency Physicians | Physician Assistant | Past | Accepting new patients |
| AMC/North Fulton Urgent Care #2 LLC | Past |
Accepting new patients | |
| AMC/North Fulton Urgent Care 1 LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C 2302 | MD | Yes |
Addresses
Primary practice location
134 Owensville Rd
West River, MD 20778-9998
Mailing address
134 Owensville Rd
West River, MD 20778-9998
Phone (410) 867-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970022986 | Other | MD | RAILROAD MEDICARE |
Other names
- Heather Lynne Bickling
Other providers in West River, MD
- Wayne D Bierbaum
- Cynthia Bischoff
- Nancy S Bryant
- Amanda Court
- Ebony Eddy
- Jennifer Evans
- Rebecca Hardesty
All providers in West River, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.