Provider Demographics
NPI:1861497455
Name:HOPPER, DAVID M (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:HOPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6 ALLEN PARKWAY
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-4336
Mailing Address - Country:US
Mailing Address - Phone:256-831-7100
Mailing Address - Fax:256-831-7191
Practice Address - Street 1:6 ALLEN PKWY
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1944
Practice Address - Country:US
Practice Address - Phone:256-831-7100
Practice Address - Fax:256-831-7191
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL8131207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000011327HOPMedicaid
AL000011327Medicare PIN
ALC72374Medicare UPIN