Brock Widder
Brock Widder is a Physician Assistant in Hagerstown, Maryland. Qualified in 2023, 3 years ago. Practices with Meritus Urgent Care LLC, a 39-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 3
- Licensed in
- MD
- In the registry since
- 2024
Practice location Address checks out
13620 Crayton Blvd Ste AHagerstown, MD 21742-2335
Phone: (240) 313-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence C0009466 (MD) |
|---|
Record details
| NPI number | 1497592851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 12, 2024 |
| Last updated in NPPES | July 12, 2024 |
| Certification date | July 12, 2024 |
| Mailing address | 13620 Crayton Blvd Ste A, Hagerstown, MD 21742-2335 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Meritus Urgent Care Llc — 39 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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