Individual provider Active NPI

Honey Brojan, CRNP

  • Family Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1790486140
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R146260 Issued in MD
Practice address
9106 Philadelphia Rd Ste 108
Rosedale, MD 21237-4335
Phone
(410) 682-5040
Fax
(410) 682-5044
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R146260 MD Primary

Addresses

Primary practice location

9106 Philadelphia Rd Ste 108
Rosedale, MD 21237-4335

Mailing address

4613 Riddle Dr
Nottingham, MD 21236-5702
Phone (443) 208-8718

Other practice location 1

110 Stemmers Run Rd
Essex, MD 21221-3403
Phone (410) 238-7393

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240410001828 MD Practitioner - Nurse Practitioner 8527406420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baltimore Pain Management Center PAGroup PAC ID 9133184641, 3 clinicians

Practice addresses (Care Compare)

9106 Philadelphia Rd
Suite 108
Baltimore, MD 21237-4335
Phone (410) 682-5040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Pain Management Center PA CurrentSince Mar 4, 2024 Accepting new patients
Zion Ambulatory Center LLC CurrentSince Mar 4, 2024 Accepting new patients

Locations

9106 Philadelphia Rd
Ste 108
Rosedale, MD 21237
Phone (410) 682-5040

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1790486140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 RIDDLE DR",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365702",
            "telephone_number": "443-208-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 108",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374335",
            "telephone_number": "410-682-5040",
            "fax_number": "410-682-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Stemmers Run Rd",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "MD",
            "postal_code": "212213403",
            "country_code": "US",
            "telephone_number": "410-238-7393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROJAN",
        "first_name": "HONEY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R146260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.