Healthcare Provider Details

I. General information

NPI: 1316863129
Provider Name (Legal Business Name): BRETT DAVID BIRKMEYER FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4706 MASER CT
HAMPTON VA
23666-3632
US

IV. Provider business mailing address

4706 MASER CT
HAMPTON VA
23666-3632
US

V. Phone/Fax

Practice location:
  • Phone: 757-870-3372
  • Fax:
Mailing address:
  • Phone: 757-870-3372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024198171
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: