Active NPI
Thomas J Hubbard, MD
- Plastic Surgery Physician
- Virginia Beach, VA
National Provider Identifier
1073798104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101048101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440392 | Other | VA | BLUE CROSS BLUE SHIELD |
| 240000236 | Other | VA | MEDICARE 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.