MR. NILS M. BROWNWORTH (NPI# 1679611909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679611909 |
| Entity Type | Individual |
| Full Name | MR. NILS M. BROWNWORTH |
| Credential | P.A. |
| Practice Address |
20412 Sunbright Ln Germantown MD 20874-1087 |
| Mailing Address |
19851 Observation Dr Ste 250 Germantown MD 20876-4139 |
| Practice Telephone | 3019720400 |
| Practice Fax Number | 3019161453 |
| Mailing Telephone | 3019720400 |
| Mailing Fax Number | 3019161453 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0002533 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DEA | MB1125803 | 01 |
| MD | CDS | PA56895 | 01 |
| Street Address |
20412 SUNBRIGHT LN |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-1087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942155 | Eva Street | Doula | 20412 Sunbright Ln, Germantown, MD 20874-1087 | 2014-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1467823682 | West Clinic, P.C. | Physician Assistant | 7714 Poplar Ave Ste 200, Germantown, TN 38138-3941 | 2015-10-14 |
| 1164683827 | Shelley N Mulrooney | Physician Assistant | 1335 Cordova Cove, Dermatology East, Germantown, TN 38138 | 2008-06-24 |
| 1003095571 | Marnie Bernard | Physician Assistant | 19777 Frederick Rd, Germantown, MD 20876-1307 | 2007-10-31 |
| 1043413891 | Dermatology East,p.l.l.c. | Physician Assistant | Dermatology East,p.l.l.c. 1335 Cordova Cv, Germantown, TN 38138 | 2007-06-08 |
| 1811503196 | Cody Mitchell Hastings | Physician Assistant | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2020-09-22 |
| 1457809352 | Samuel David Grafton | Physician Assistant | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2016-09-20 |
| 1396299400 | Suzanne Ray Margello | Physician Assistant | 8060 Wolf River Blvd, Germantown, TN 38138 | 2016-08-05 |
| 1285083717 | Corey Robinson | Physician Assistant | 7675 Wolf River Cir Ste 202, Germantown, TN 38138 | 2016-06-06 |
| 1265890099 | Stephanie Garfinkle | Physician Assistant | 19735 Germantown Rd, Suite 100, Germantown, MD 20874-1214 | 2016-02-08 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
Please comment or provide details below to improve the information on MR. NILS M. BROWNWORTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.