MEDICARE: DR. DOUGLAS DAVID DUNCAN 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	207X00000X	Orthopaedic Surgery Physician	0101245575	VA
2	207X00000X	Orthopaedic Surgery Physician	4301091324	MI
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	0101245575	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1982244083	OTHER	VA	CORNERSTONE PROFESSIONAL ORTHOPAEDICS SPORTS 4 CHRIST
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	J829	OTHER	VA	CORNERSTONE PROFESSIONAL ORTHOPAEDICS SPORTS 4 CHRIST

General Provider Information

NPI Number	:	1457337107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS DAVID DUNCAN MD

Provider Business Mailing Address
First Line	:	PO BOX 4222
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-0222
Country	:	US
Telephone Number	:	757-746-5342
Fax Number	:

Provider Business Practice Location Address
First Line	:	637 KINGSBOROUGH SQ STE D
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4944
Country	:	US
Telephone Number	:	757-746-5342
Fax Number	:	833-954-0875

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	01/22/2025

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