Provider Demographics
NPI:1720283898
Name:HALPERT, DANIEL ELI (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ELI
Last Name:HALPERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 ORANGE RD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-4170
Mailing Address - Country:US
Mailing Address - Phone:540-423-6239
Mailing Address - Fax:
Practice Address - Street 1:2002 ORANGE RD
Practice Address - Street 2:SUITE #201
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-4170
Practice Address - Country:US
Practice Address - Phone:540-423-6239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202833208100000X, 2081P2900X, 208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6700350001Medicare NSC