Provider Demographics
NPI:1518919653
Name:MUMPER, JAMES DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:MUMPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7001 FOREST AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1726
Mailing Address - Country:US
Mailing Address - Phone:804-282-2655
Mailing Address - Fax:804-282-1793
Practice Address - Street 1:7229 FOREST AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3765
Practice Address - Country:US
Practice Address - Phone:804-282-2655
Practice Address - Fax:804-282-1793
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101036866207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB6020Medicare UPIN
VA00V493P63Medicare ID - Type Unspecified