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NPI Code Detail

MEDICARE: BRETT JEFFREY HAMPTON MD

MEDICARE: BRETT JEFFREY HAMPTON 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
1207X00000XOrthopaedic Surgery Physician0101238375VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1021910G27OTHERMDMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
23148412OTHERMDMAMSI

General Provider Information

NPI Number : 1467420091
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT JEFFREY HAMPTON MD
Provider Business Mailing Address
First Line : 11698 HOLLYVIEW DR
Second Line :
City : GREAT FALLS
State : VA
Zip : 22066-1329
Country : US
Telephone Number : 434-825-1691
Fax Number :
Provider Business Practice Location Address
First Line : 9601 BLACKWELL RD STE 100
Second Line : SHADY GROVE ORTHOPAEDICS
City : ROCKVILLE
State : MD
Zip : 20850-6477
Country : US
Telephone Number : 301-340-9200
Fax Number : 301-340-6934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 03/08/2016

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