Kerry Blaine Patterson, MD MPH

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

M-5208 Issued in ID

Practice address

9501 Farrell Rd
BLDG 808
Fort Belvoir, VA 22060-5901

Phone

(703) 805-8312

NPI assigned

Jun 8, 2007

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497958151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 HANRAHAN PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223094528",
            "telephone_number": "703-780-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 FARRELL RD",
            "address_2": "BLDG 808",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605901",
            "telephone_number": "703-805-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KERRY",
        "middle_name": "BLAINE",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "ID",
            "license": "M-5208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoey Neudeck Pascual, DO
• Neha H Patel, PHARM.D.
• Shimul Shah Patel, MD
• Urvi Patel, PHARM D
• Kasi Gabriel Patterson, PH.D.
• Charla Patton, LCSW
• Michael Paul, M.D.
• Kelly Elizabeth Paulett, OD
• Brayson Pawelczyk, MD
• Nicole Colleen Pelham, M.D.

• Military Health Care Provider in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Military Health Care Provider in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.