Provider Demographics
NPI:1922064005
Name:COMPTON, DAVID ALAN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ALAN
Last Name:COMPTON
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 WENDOVER HEIGHTS CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1348
Mailing Address - Country:US
Mailing Address - Phone:704-219-0750
Mailing Address - Fax:
Practice Address - Street 1:1614 SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-4726
Practice Address - Country:US
Practice Address - Phone:704-338-1268
Practice Address - Fax:704-338-9358
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC342842083X0100X, 2083P0500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2347843Medicare PIN
E68311Medicare UPIN
NC2184160AMedicare UPIN