Healthcare Provider Details

I. General information

NPI: 1528720166
Provider Name (Legal Business Name): BRITTNEY M BADGETT MD , C.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2021
Last Update Date: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 PERRY PKWY STE 6
GAITHERSBURG MD
20877-2169
US

IV. Provider business mailing address

203 PERRY PKWY STE 6
GAITHERSBURG MD
20877-2169
US

V. Phone/Fax

Practice location:
  • Phone: 240-498-0024
  • Fax:
Mailing address:
  • Phone: 240-498-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberM324R
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: