David Sullivan Axford, DO

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

0102208020 Issued in VA

Practice address

33 Holcomb Blvd
Camp Lejeune, NC 28547-2502

Phone

(910) 440-2463

NPI assigned

May 11, 2022

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1023754074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HOLCOMB BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472502",
            "telephone_number": "757-953-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HOLCOMB BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472502",
            "telephone_number": "910-440-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXFORD",
        "first_name": "DAVID",
        "middle_name": "SULLIVAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "VA",
            "license": "0102208020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Atlas, DDS
• Eric Aul, IDC
• Glenda Aultowski, R.N.
• Nicholas Aures, RD
• David Frank Aurigemma, M.D.
• Steven Azzam, MD
• Sheila Badgerow
• Keshav Baggan, LCSW-C
• Jacob Bagley, SOIDC
• Bridget Bailey

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.