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BRETT MARK WORTHAM M.D. NPI 1306853957


NPI Information

NPI: 1306853957
Provider Name: BRETT MARK WORTHAM, M.D.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
2041 GEORGIA AVE NW
WASHINGTON, DC
ZIP 20060
Phone: (202) 865-1527
Get Directions

Brett Mark Wortham, M.D. is a neonatal-perinatal medicine pediatrics in Washington, DC. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Brett Mark Wortham, M.D. NPI is 1306853957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2041 GEORGIA AVE NW
WASHINGTON, DC
ZIP 20060-001
Phone: (202) 865-1527

The enumeration date for this NPI number is 8/2/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal MedicineME97096FLORIDANo
22080N0001XPediatricsNeonatal-Perinatal Medicine058308GEORGIANo
32080N0001XPediatricsNeonatal-Perinatal MedicineMD035295DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICARE ID-TYPE UNSPECIFIEDGEORGIAPENDING
2PENDINGMEDICARE UPINGEORGIA
3PENDINGMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.