Provider Demographics
NPI:1518143767
Name:SCHMERFELD, BROOKE M (PA-C, MS)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:M
Last Name:SCHMERFELD
Suffix:
Gender:F
Credentials:PA-C, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3990 FETTLER PARK DR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-1997
Mailing Address - Country:US
Mailing Address - Phone:703-445-8312
Mailing Address - Fax:
Practice Address - Street 1:3990 FETTLER PARK DR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-1997
Practice Address - Country:US
Practice Address - Phone:703-445-8312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053319363A00000X
DEC50000623363AM0700X
NJ25MP00263300363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant