Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Park

Individual provider Physician Assistant · NPI 1669929972

Brian Park is a Physician Assistant in Germantown, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

20010 Century Blvd Ste 200
Germantown, MD 20874-1115
Phone: (240) 686-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C06204 (MD)

Record details

NPI number1669929972
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 2, 2016
Last updated in NPPESSeptember 2, 2016
Mailing address20010 Century Blvd, Suite 200, Germantown, MD 20874-1115

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