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1104421197 NPI number — BRIAN WINFORD AMY MD,MPH,FACS,FACPM

NPI Number: 1104421197
Health Care Provider/Practitioner: BRIAN WINFORD AMY MD,MPH,FACS,FACPM

Information about “1104421197” NPI (BRIAN WINFORD AMY MD,MPH,FACS,FACPM) exists in 1104421197 in HTML format HTML  |  1104421197 in plain Text format TXT  |  1104421197 in PDF (Portable Document Format) PDF  |  1104421197 in an XML format XML  formats.

NPI Number : 1104421197 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104421197",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMY",
    "FirstName": "BRIAN",
    "MiddleName": "WINFORD",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD,MPH,FACS,FACPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "899 N CAPITOL ST NE STE 5",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WASHINGTON",
    "MailingAddressStateName": "DC",
    "MailingAddressPostalCode": "20002-5686",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "202-631-0766",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "899 N CAPITOL ST NE STE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WASHINGTON",
    "PracticeLocationAddressStateName": "DC",
    "PracticeLocationAddressPostalCode": "20002-5686",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "202-631-0766",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/30/2020",
    "LastUpdateDate": "11/30/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2083P0901X",
        "TaxonomyName": "Public Health & General Preventive Medicine Physician",
        "LicenseNumber": "MD037142",
        "LicenseNumberStateCode": "DC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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