IndividualActive
Brent Tucker, PA-C
NPI 1396297248 · Surgical Physician Assistant · Olney, MD
Provider details
- NPI number
- 1396297248
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- C06263 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3414 Olandwood Ct
Olney, MD 20832-1384
Phone: (301) 774-0500
Fax: (301) 774-7338
Approximate (ZIP-level) locationGet directions
Mailing address
3414 Olandwood Ct
Olney, MD 20832-1384
Additional practice locations (1)
- 10710 Charter Dr Ste 300Columbia, MD 21044-3260Phone: (410) 644-1880Fax: (410) 730-1617
Registry dates
- Enumerated
- 2016-10-26
- Last updated
- 2019-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.