Individual
BRENT J BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 HARRY S TRUMAN DR N, LARGO, MD 20774-5477
(410) 448-6400
Mailing address
PO BOX 64134, BALTIMORE, MD 21264-4134
(667) 214-2714
(410) 448-6926
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
D0089550
MD
207XX0801X
Orthopaedic Trauma Physician
N3488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211558603
—
TX
01
—
BP2-0018483
INSTITUTIONAL PERMIT
—
05
—
D0089550
—
MD
01
—
N3488
LICENSE
TX
Enumeration date
06/09/2007
Last updated
04/07/2026
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