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Medical Practices of Antietam LLC

Neurology Physician in Hagerstown, MD · enumerated 2026 · authorized official Joshua Repac, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104767771

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Registry record

Entity type Organization (Type 2)
Legal business name Medical Practices of Antietam LLC
Practice address 235 Mill St Ste 1, Hagerstown, MD, 21740
Phone (301) 739-5959
Enumeration date Apr 6, 2026
Last updated in NPPES Apr 6, 2026

Taxonomy & classification

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Joshua Repac
Title Cfo
Phone (301) 790-9351

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Medical Practices of Antietam LLC?
NPPES lists Joshua Repac (Cfo) as the authorized official for this organization.
What is the NPI number for Medical Practices of Antietam LLC?
The NPI for Medical Practices of Antietam LLC is 1104767771, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-06.