Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
C0008130
Austin Louis Bentley
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
09/09/2021
License Expiration:
06/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Education
N/A
Medical Assistance
Accept Medicaid?
No
Maryland Hospital Privilege Information
(as reported by licensee)
Calverthealth Medical Center
University Of Md Charles Regional Medical Center
Medical Licenses Held in Other States
(as reported by licensee)
Licensee has not reported Medical Licenses Held in Other States information for the profile site.
Physician Assistant Notification of Collaboration Agreements
Agreement ID: 4169 | Submit Date: 05/01/2025
Practice Setting: Hospital
Facility: University Of Md Charles Regional Medical Center
Address: 5 Garrett Avenue
La Plata, MD 20646
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0085470
Pouya Gharahdaghi Status: Approved |
Approved Date:
10/01/2021 | Agreement No: 22808
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0076117
Stephanie Dabulis Status: Approved |
Approved Date:
03/01/2022 | Agreement No: 30401
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0073512
Mark Adam Goldstein Status: Approved |
Approved Date:
04/13/2022 | Agreement No: 30574
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0074931
Maxwell Irving Ginsburg Status: Approved |
Approved Date:
02/28/2023 | Agreement No: 32011
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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