BRADEN ALAN SHOUPE (M.D.) – Pediatric Hematology & Oncology Physician, NPI 1255315396

BRADEN ALAN SHOUPE (M.D.) is a healthcare provider. based in Dumfries, Virginia. specializing in Pediatric Hematology & Oncology Physician. They hold the professional credentials M.D.. They hold a License No. 31072 (NC). The NPI Number for BRADEN ALAN SHOUPE (M.D.) is 1255315396

Main info

Male
Name
BRADEN ALAN SHOUPE (M.D.)
NPI
1255315396
Phone
(703) 441-7500
Address
3700 FETTLER PARK DR
Enumeration Date
2 December 2005
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for BRADEN ALAN SHOUPE (M.D.)

  • 3700, Fettler Park Drive, Grayson Village Mobile Home Park, Dumfries, Prince William County, Virginia, 22025, United States

    DUMFRIES, VA 220252050

    Phone: (703) 441-7500

    Type: Mailing

  • LANDSTUHL REGIONAL MEDICAL CENTER

    BLDG 3767 (9A)

    APO, AE 09810

    Phone: 011496371865300

    Fax: 011496371868192

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-20

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22025)

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Reviews

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Frequently asked questions

How do payers reference BRADEN ALAN SHOUPE (M.D.)?
For BRADEN ALAN SHOUPE (M.D.), use NPI 1255315396 as the unique 10-digit identifier.
Is BRADEN ALAN SHOUPE (M.D.) shown as active in public data?
Registry records indicate BRADEN ALAN SHOUPE (M.D.) maintains an active NPI.
What kind of doctor is BRADEN ALAN SHOUPE (M.D.)?
BRADEN ALAN SHOUPE (M.D.) is associated with Pediatric Hematology & Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is BRADEN ALAN SHOUPE (M.D.) associated with Dumfries?
Public fields place BRADEN ALAN SHOUPE (M.D.) around Dumfries, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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