MEDICARE: DR. JAMES FROST BAMPTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101053559	VA
2	207Q00000X	Family Medicine Physician	99-6	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316940935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES FROST BAMPTON MD

Provider Business Mailing Address
First Line	:	PO BOX 13731
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 FOREST AVE STE 302
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230
Country	:	US
Telephone Number	:	804-282-2655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	12/11/2018

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Directions to “ DR. JAMES FROST BAMPTON MD” Practice Location

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