F J Pepper MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101019747 Issued in VA

Legal business name

F J PEPPER MD PC

Practice address

4600 Duke St
Suite 424
Alexandria, VA 22304-2578

Phone

(703) 823-2311

Fax

(703) 823-2429

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

F J Pepper, MD

Title

President Sole Proprietor

Phone

(703) 823-2311

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1942423082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 DUKE ST",
            "address_2": "SUITE 424",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042578",
            "telephone_number": "703-823-2311",
            "fax_number": "703-823-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 DUKE ST",
            "address_2": "SUITE 424",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042578",
            "telephone_number": "703-823-2311",
            "fax_number": "703-823-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F J PEPPER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT SOLE PROPRIETOR",
        "authorized_official_telephone_number": "703-823-2311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "VA",
            "license": "0101019747",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101019747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7133201",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.