Basic Information
Provider Information
NPI: 1972529840
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALPERT
FirstName: DAVID
MiddleName: HARVEY
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 856 J CLYDE MORRIS BLVD
Address2: SUITE A
City: NEWPORT NEWS
State: VA
PostalCode: 236011318
CountryCode: US
TelephoneNumber: 7575944006
FaxNumber:  
Practice Location
Address1: 7547 MEDICAL DR STE 2200
Address2:  
City: GLOUCESTER
State: VA
PostalCode: 230614351
CountryCode: US
TelephoneNumber: 8046932720
FaxNumber: 8046940597
Other Information
ProviderEnumerationDate: 07/14/2006
LastUpdateDate: 11/27/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0101038809VAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home