Brendan Paul Koning, APRN, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · New Market, MD
NPI 1740748649 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1740748649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- APRN11006116 (FL)
- Practice address
- 11717 Old National Pike Ste 8
New Market, MD 21774-6119 - Phone
- (301) 882-7489
- NPI assigned
- Mar 10, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11006116 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Oak Pediatrics DRS Battiata & Impeduglia PA | Past | Accepting new patients | |
| White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a. | Past | Accepting new patients | |
| White Oak Pediatrics DRS Battiata & Impeduglia PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- brendan.koning@wopmd.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN11006116 | FL | Yes |
Addresses
Primary practice location
11717 Old National Pike Ste 8
New Market, MD 21774-6119
Mailing address
11717 Old National Pike Ste 8
New Market, MD 21774-6119
Phone (301) 882-7489
Other providers in New Market, MD
- Seth T Karns
- Jan L Kennedy
- Ricki Kern
- Lydia Kieffer
- Kinera Foundation Inc
- Kathi L Kopacz
- Kaytlin Lapsa
- James Paul Lee
- Stacey A Lenisa
- Linganore Counseling and Wellness, LLC
All providers in New Market, MD · Pediatric Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. 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.