David C Houglum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29582 Issued in MN

Practice address

77 Nealy Ave
1St Medical Group/CD
Langley Afb, VA 23665-2040

Phone

(757) 764-6969

Fax

(757) 764-9845

NPI assigned

Dec 22, 2005

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

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1689651457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NEALY AVE",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652040",
            "telephone_number": "757-764-6969",
            "fax_number": "757-764-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NEALY AVE",
            "address_2": "1ST MEDICAL GROUP/CD",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652040",
            "telephone_number": "757-764-6969",
            "fax_number": "757-764-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGLUM",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "29582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Kyle Hammond I
• Maureen Oliver Harback, R.D.
• Stephen Mitchell Harris, IDMT
• Sandra S. Hearne, D.D.S.
• Crystal Dawn Hickman, RN
• Anthony Inae, M.D.
• Victor M Inga, PA-C
• Jennifer Melissa Jacobs, PHARM.D.
• Leigh Gossick Johnson, PH.D.
• Loren M Jones, M.D.

• Family Medicine Physician in Langley Afb, VA
• Providers in Langley Afb, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.