Provider Demographics
NPI:1356311542
Name:HOPSON, ALAN WAYNE (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:WAYNE
Last Name:HOPSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 RIVERSIDE DR
Mailing Address - Street 2:SUITE A-101
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-4700
Mailing Address - Country:US
Mailing Address - Phone:410-749-0121
Mailing Address - Fax:410-749-6807
Practice Address - Street 1:560 RIVERSIDE DR
Practice Address - Street 2:SUITE A-101
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-4700
Practice Address - Country:US
Practice Address - Phone:410-749-0121
Practice Address - Fax:410-749-6807
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00510213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2575441OtherAETNA
MD32503002OtherCAREFIRST
MD21666OtherUNITED HEALTHCARE
MD7780681Medicaid
DCW4610001OtherBLUE SHIELD DC
MD26927OtherCOVENTRY
MD4337383OtherAETNA MANAGED CARE
MD406480619OtherRAILRD RETIREMENT MEDICAR
MD21666OtherUNITED HEALTHCARE
MD105M996EMedicare ID - Type Unspecified