Individual provider Active NPI

Thomas J Hubbard, MD

  • Plastic Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1073798104
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101048101 Issued in VA
Practice address
329 Phillip Ave
Virginia Beach, VA 23454-4380
Phone
(757) 687-1900
Fax
(757) 687-1895
NPI assigned
Jan 8, 2008
Reactivated
Oct 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101048101 VA Primary

Addresses

Primary practice location

329 Phillip Ave
Virginia Beach, VA 23454-4380

Mailing address

329 Phillip Ave
Virginia Beach, VA 23454-4380
Phone (757) 687-1900

Other identifiers 2

IdentifierTypeStateIssuer
440392OtherVABLUE CROSS BLUE SHIELD
240000236OtherVAMEDICARE BEFORE 5/21/08

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1073798104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 PHILLIP AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544380",
            "telephone_number": "757-687-1900",
            "fax_number": "757-687-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 PHILLIP AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544380",
            "telephone_number": "757-687-1900",
            "fax_number": "757-687-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "deactivation_date": "2025-06-06",
        "reactivation_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101048101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "440392",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BEFORE 5/21/08",
            "identifier": "240000236",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.