Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD53807 | TN |
N | 208600000X | Surgeon | MD53807 | TN |
N | 208200000X | Surgeon | R72008 | AZ |
N | 208600000X | Surgeon | R72008 | AZ |
N | 2086S0102X | Surgical Critical Care | 53807 | TN |
Y | 2086S0127X | Trauma Surgeon | 53807 | TN |
NPI | 1487955134 |
---|---|
Provider Name | Dr. Herbert Andrew Hopper |
First Address | Nashville, TN 37215-2691 |
Second Address | Nashville, TN 37232-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2010 |
Last Update Date | 29/01/2022 |