Individual provider · Type 1 NPI

Brooke Banos

Physician Assistant · Lanham, MD

NPI number 1609419068 Active

Practice location

8116 Good Luck Rd Ste 305
Lanham, MD 20706-3508

Mailing address

6913 Raven Ln
Columbia, MD 21044-4257

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609419068

Brooke Banos's National Provider Identifier is 1609419068, issued on Oct 17, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lanham, MD. The record was last updated on Nov 5, 2025.