Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
C0007192
Jacob Braffman
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
05/09/2019
License Expiration:
06/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Education
N/A
Medical Assistance
Accept Medicaid?
N/A
Maryland Hospital Privilege Information
(as reported by licensee)
Medstar Union Memorial Hospital
Medstar Good Samaritan Hospital
Medical Licenses Held in Other States
(as reported by licensee)
New York
Physician Assistant Notification of Collaboration Agreements
Agreement ID: 6417 | Submit Date: 09/15/2025
Practice Setting: Hospital
Facility: Medstar Union Memorial Hospital
Address: 201 East University Parkway
Baltimore, MD 21218
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0047263
Regenia Adell Carpenter-Edmond Status: Approved |
Approved Date:
04/12/2023 | Agreement No: 32294
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0088279
David E. Stein Status: Approved |
Approved Date:
08/23/2023 | Agreement No: 32775
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
Download all Maryland Disciplinary Actions
(not time-limited)
All Orders are downloaded in .pdf format.
None.
Summary of Known Disciplinary Actions by any state medical board
(within the past 10 years)
Please Read Description
In Maryland:
No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.
Other States:
No Known Disciplinary Actions by any other state medical board have been reported.
Pending Charges
Please Read Disclaimer
All Charges are downloaded in .pdf format.
None.
Other Public Actions in the Practice of the Profession or Administrative Fines
(including Maryland)
Please Read Description
No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.
Convictions for any crime involving moral turpitude
None reported by the courts.
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