Individual provider Active NPI

Rosemarie McCall Brager, CRNP

  • Gerontology Nurse Practitioner
  • Elkridge, MD
National Provider Identifier
1932264405
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R066362 Issued in MD
Practice address
6085 Marshalee Dr
Elkridge, MD 21075-6023
Phone
(443) 710-7264
Fax
(410) 379-3591
NPI assigned
Dec 26, 2006
Last updated
Dec 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R066362 MD Primary

Addresses

Primary practice location

6085 Marshalee Dr
Elkridge, MD 21075-6023

Mailing address

12 Spring Forest CT
Owings Mills, MD 21117-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R066362MDMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1932264405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPRING FOREST CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 MARSHALEE DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756023",
            "telephone_number": "443-710-7264",
            "fax_number": "410-379-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGER",
        "first_name": "ROSEMARIE",
        "middle_name": "MCCALL",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R066362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.