Provider Demographics
NPI:1790001097
Name:HOPKINS, BRANDY
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 MAPLE ST
Mailing Address - Street 2:APT 335
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-2346
Mailing Address - Country:US
Mailing Address - Phone:607-426-6568
Mailing Address - Fax:
Practice Address - Street 1:51 MAPLE ST
Practice Address - Street 2:APT 335
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-2346
Practice Address - Country:US
Practice Address - Phone:607-426-6568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator