Individual provider Active NPI

Joseph Mitchell Duren Jr., M.D.

  • Internal Medicine Physician
  • Langley Afb, VA
National Provider Identifier
1306227590
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2016035350 Issued in MO
Practice address
77 Nealy Blvd
Langley Afb, VA 23665-2023
Phone
(757) 225-8001
NPI assigned
Jun 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 2016032350 MO
Student in an Organized Health Care Education/Training Program 390200000X 2016032350 MO
Internal Medicine Physician 207R00000X 2016035350 MO Primary

Addresses

Primary practice location

77 Nealy Blvd
Langley Afb, VA 23665-2023

Mailing address

77 Nealy Blvd
Langley Afb, VA 23665-2023

Other practice location 1

4175 S Alamo Ave
Tucson, AZ 85707-4402
Phone (520) 228-2800

Other practice location 2

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (904) 501-0340

Other practice location 3

4881 Sugar Maple Dr
Dayton, OH 45433-5529
Phone (937) 257-2432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230001010 MO Order and Referring Only - General SurgeryPractitioner - General Surgery 0143522672

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016035350MOMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1306227590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NEALY BLVD",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NEALY BLVD",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652023",
            "telephone_number": "757-225-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 S Alamo Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857074402",
            "country_code": "US",
            "telephone_number": "520-228-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3635 Vista Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631102539",
            "country_code": "US",
            "telephone_number": "904-501-0340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4881 Sugar Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454335529",
            "country_code": "US",
            "telephone_number": "937-257-2432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUREN",
        "first_name": "JOSEPH",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "MO",
            "license": "2016032350",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2016032350",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2016035350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley Afb, VA

Sources for this page

Verify at the official NPI Registry.