| NPI | 1104978287 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-01-17 |
| Last Updated | 2019-03-20 |
| Mailing Address | 3100 Us1 South, Midflorida Dermatology And Plastic Surgery St Augustine, FL 32086-0258 United States Phone: (407) 299-7333 📍 View Map |
| Primary Practice Address | 3100 Us 1 S St Augustine, FL 32086 United States Phone: (407) 299-7333 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363A00000X – Physician Assistant | CA | PA15466 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1104978287
Brent Davin Hopson PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104978287. The primary specialty listed is Physician Assistant. The provider is located in St Augustine, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104978287?
NPI 1104978287 belongs to Brent Davin Hopson PA-C, a Physician Assistant in St Augustine, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104978287 active?
The current status of NPI 1104978287 in the NPPES registry is Active. The record was last updated on 2019-03-20.
What specialty is NPI 1104978287?
NPI 1104978287 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104978287?
You can verify NPI 1104978287 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104978287?
The primary practice address on file for NPI 1104978287 is 3100 Us 1 S, St Augustine, FL 32086. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104978287 issued?
NPI 1104978287 was first issued (enumerated) on 2007-01-17. The NPPES record was last updated on 2019-03-20.
Practice Location Map
Brent Davin Hopson is located at 3100 Us 1 S, St Augustine, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Brent Davin Hopson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104978287. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant | PA15466 | CA |