Healthcare Provider Details

I. General information

NPI: 1013224872
Provider Name (Legal Business Name): ROBERT JAY HOPKINS MD, MPH & TM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2010
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HARTLE CT
NAPA CA
94559-4078
US

IV. Provider business mailing address

300 PROFESSIONAL DR
GAITHERSBURG MD
20879-3419
US

V. Phone/Fax

Practice location:
  • Phone: 707-254-1775
  • Fax:
Mailing address:
  • Phone: 301-944-0136
  • Fax: 301-590-1252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD39160
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA50794
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: