1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Physician Assistant
  6. NPI Profile

BRIAN F ANTONUCCI PA-C
NPI 1700167616
Physician Assistant - Surgical in Baltimore, MD

Active since September 06, 2011PECOS Enrolled
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-6070(410) 955-0833 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian F Antonucci Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN F ANTONUCCI PA-C (NPI 1700167616) is an individual surgical provider in Baltimore, Maryland, licensed in Maryland (C06717) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1700167616
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRIAN F ANTONUCCICredential: PA-C
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-5266
Phone(410) 955-6070
Fax(410) 955-0833
Sole ProprietorNo
Enumeration DateSeptember 6, 2011
Last NPPES UpdateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
✔ NPI 1700167616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in MD · C06717✔ Licensed in NY · 015066
600 N WOLFE ST, Baltimore, MD 21287
Open in Google Maps ↗

Secondary Practice Location 1

Location 1525 E 68th StNew York, NY 10065-4870 · Phone (212) 746-5454

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian F Antonucci Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Antonucci's NPI number?

The NPI number for Brian Antonucci is 1700167616. It was assigned to this individual provider in the NPPES registry on September 6, 2011.

Where is Brian Antonucci located?

Brian Antonucci practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-6070.

What is Brian Antonucci's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brian Antonucci enrolled in Medicare?

Yes. Brian Antonucci is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Antonucci was last updated on August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.