NPI Code Details Logo

NPI 1306872528

NPI 1306872528 : BRET D RIPLEY DO : WINCHESTER, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1306872528
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRET D RIPLEY DO
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/23/2006
-----------------------------------------------------
    Last Update Date     |    04/30/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1867 AMHERST ST STE 101 
-----------------------------------------------------
    City                 |    WINCHESTER
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22601-2869
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    540-667-8724
-----------------------------------------------------
    Fax                  |    540-662-5638
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1867 AMHERST ST STE 101 
-----------------------------------------------------
    City                 |    WINCHESTER
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22601-2869
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    540-667-8724
-----------------------------------------------------
    Fax                  |    540-662-5638
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    34006392
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    02853
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    DO-04444
-----------------------------------------------------
    License Number State |    IA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    0102201949
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.