Provider Demographics
NPI:1760374938
Name:SPERRY, MURT
Entity type:Individual
Prefix:MR
First Name:MURT
Middle Name:
Last Name:SPERRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14414 CLAGGETT RUN RD
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-6020
Mailing Address - Country:US
Mailing Address - Phone:202-297-1536
Mailing Address - Fax:
Practice Address - Street 1:114 WAYNE PL SE APT 218
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-6146
Practice Address - Country:US
Practice Address - Phone:202-256-3102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant