Provider Demographics
NPI:1992189765
Name:BERNA, BRITTANY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:BERNA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:DIANE
Other - Last Name:MEREK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 BEL AIR SOUTH PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6086
Mailing Address - Country:US
Mailing Address - Phone:410-569-2441
Mailing Address - Fax:
Practice Address - Street 1:9000 FRANKLIN SQUARE DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3901
Practice Address - Country:US
Practice Address - Phone:443-777-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-12
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0005819363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical