IndividualActive
Brian Roeder, P.A.-C
NPI 1023034170 · Surgical Physician Assistant · Glen Burnie, MD
Provider details
- NPI number
- 1023034170
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- No
- License
- C00624 (MD)
Practice location
301 Hospital Dr
Suite 803
Glen Burnie, MD 21061-5803
Phone: (410) 553-8160
Fax: (410) 553-8159
Mailing address
301 Hospital Dr
Glen Burnie, MD 21061-5803
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2015-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.