Individual provider Active NPI

David Hershey Hopper, MD

  • Family Medicine Physician
  • Reidsville, NC
National Provider Identifier
1922097559
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20917 Issued in NC
Practice address
2150 NC Highway 65
Reidsville, NC 27320-9609
Phone
(336) 427-9022
Fax
(336) 427-9030
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20917 NC Primary

Addresses

Primary practice location

2150 NC Highway 65
Reidsville, NC 27320-9609

Mailing address

PO Box 281
Wentworth, NC 27375-0281
Phone (336) 427-9022

Other identifiers 1

IdentifierTypeStateIssuer
0056225000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhopper@hofrc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080109000317 NC Practitioner - Family Practice 1052491578 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20917NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Rockingham County, Inc CurrentSince Nov 14, 2022 Accepting new patients
Hospice of Rockingham County, Inc Family Medicine CurrentSince Nov 14, 2022 Accepting new patients
Bluefield Emergency Physicians Inc Past Accepting new patients

Locations

107 W Stadium Dr
Eden, NC 27288

2150 NC Highway 65
Reidsville, NC 27320
Phone (336) 427-9022

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1922097559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "WENTWORTH",
            "state": "NC",
            "postal_code": "273750281",
            "telephone_number": "336-427-9022",
            "fax_number": "336-427-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NC HIGHWAY 65",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209609",
            "telephone_number": "336-427-9022",
            "fax_number": "336-427-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "DAVID",
        "middle_name": "HERSHEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "20917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056225000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhopper@hofrc.org",
            "affiliation": "N",
            "address_1": "2150 Nc Highway 65",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273209609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.