Jeffrey Burnett Kopp, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D0038010 Issued in MD

Practice address

10 Center Dr, Nih
BDG 10, 3N116
Bethesda, MD 20892-1268

Phone

(301) 594-3403

Fax

(301) 402-0014

NPI assigned

Jul 28, 2008

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1154586378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 LINCOLN ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173354",
            "telephone_number": "301-594-3403",
            "fax_number": "301-402-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR, NIH",
            "address_2": "BDG 10, 3N116",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921268",
            "telephone_number": "301-594-3403",
            "fax_number": "301-402-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "JEFFREY",
        "middle_name": "BURNETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0038010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jephte Kombo
• Komm Medical Eye & Vision Group, LTD.
• Gregory Theodore Komm, O.D.
• Carol Konchan, CRNP
• Heidi H Kong, M.D.
• Patrick Korb, CRNP-PMH
• Matthew Calvin Korbon
• Nicholas Rich Koreerat, DPT
• Maia Korioukhina, PA-C
• Dana Lee Kornfeld, MD

• Nephrology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.