Provider Demographics
NPI:1528720166
Name:BADGETT, BRITTNEY M (MD , CD)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:M
Last Name:BADGETT
Suffix:
Gender:F
Credentials:MD , CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 PERRY PKWY STE 6
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2169
Mailing Address - Country:US
Mailing Address - Phone:240-498-0024
Mailing Address - Fax:
Practice Address - Street 1:203 PERRY PKWY STE 6
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2169
Practice Address - Country:US
Practice Address - Phone:240-498-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-11
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM324R207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1801014907OtherMEDISPEC LTD