MR. BRENT DAVIN HOPSON (NPI# 1104978287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104978287 |
| Entity Type | Individual |
| Full Name | MR. BRENT DAVIN HOPSON |
| Credential | PA-C |
| Practice Address |
3100 Us 1 S St Augustine FL 32086 |
| Mailing Address |
3100 Us1 South Midflorida Dermatology and Plastic Surgery St Augustine FL 32086-0258 |
| Practice Telephone | 4072997333 |
| Mailing Telephone | 4072997333 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA15466 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3100 US 1 S |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255798427 | Warren S. Kluger, Md, Pa | Spec/Tech, Pathology | 3100 Us 1 S, St Augustine, FL 32086-6351 | 2016-01-19 |
| 1487927570 | Frederick Michael Christensen | Audiologist | 3100 Us 1 S, Suite 4 A, St Augustine, FL 32086-6351 | 2012-02-20 |
| 1043515208 | Laurence M Matthews Md LLC | Internal Medicine | 3100 Us 1 S, #3, St Augustine, FL 32086-6351 | 2011-01-20 |
| 1770887176 | St Augustine Cardiology LLC | Internal Medicine | 3100 Us 1 S, Suite 3, St Augustine, FL 32086-6351 | 2010-12-29 |
| 1194047142 | Warren S. Kluger M.d., P.a. | Specialist | 3100 Us 1 S, Suite 2, St Augustine, FL 32086-6310 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114323490 | Neda Ruth Kadkhodaie | Physician Assistant | 2676 Us 1 S, St Augustine, FL 32086-6191 | 2014-11-13 |
| 1497021059 | Ralph David Priddy | Physician Assistant | 2305 State Road 207, St Augustine, FL 32086-9329 | 2012-03-28 |
| 1053685354 | Kristine Anderson Waters | Physician Assistant | 105 Southpark Blvd Ste A103, St Augustine, FL 32086-4162 | 2012-03-04 |
| 1437275880 | Richard A Oldano | Physician Assistant | 1300 Barrington Cir, St Augustine, FL 32092-3612 | 2007-03-21 |
| 1538134721 | Jarrod D Roussel | Physician Assistant | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2006-02-21 |
| 1316946866 | Victoria O Miller | Physician Assistant | 493 Prosperity Lake Dr, St Augustine, FL 32092-5045 | 2005-07-18 |
| 1952912826 | Megan Burke | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5790 | 2020-08-13 |
| 1508416991 | Ashley Jarriel Gucwa | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2019-09-17 |
| 1750804662 | Gabrielle Du Sablon | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2017-07-23 |
| 1952838898 | Beau Brian Nacke | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2017-05-22 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on MR. BRENT DAVIN HOPSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.