DR. BRUCE BRIAN HORSWELL (NPI# 1417911975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417911975 |
| Entity Type | Individual |
| Full Name | DR. BRUCE BRIAN HORSWELL |
| Credential | MD, DDS |
| Practice Address |
830 Pennsylvania Ave Suite 302 Charleston WV 25302-3302 |
| Mailing Address |
830 Pennsylvania Ave 302 Charleston WV 25302-3390 |
| Practice Telephone | 3043882950 |
| Practice Fax Number | 3043882951 |
| Mailing Telephone | 3043882950 |
| Mailing Fax Number | 3043882951 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3483 | WV | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 20528 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 190009986 | 01 | |
| WV | 4002072000 | 05 | |
| WV | 3002311000 | 05 |
| Street Address |
830 PENNSYLVANIA AVE SUITE 302 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253497 | Scott Alan Naegele | Obstetrics & Gynecology | 830 Pennsylvania Ave, Suite 108, Charleston, WV 25302-3389 | 2005-05-23 |
| 1134678071 | Meredith Anne Chapman | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2016-10-03 |
| 1790168409 | Muhammad Farhan Khaliq | Internal Medicine | 830 Pennsylvania Ave, Women and Children's Medical Staff Office, Suite 103, Charleston, WV 25302-3302 | 2015-06-30 |
| 1467869537 | Amarah Shakoor | Student in an Organized Health Care Education/Training Program | 830 Pennsylvania Ave, Suite 102, Charleston, WV 25302-3302 | 2014-07-21 |
| 1154734465 | Thomas Hunter & Associates, Pllc | Obstetrics & Gynecology | 830 Pennsylvania Ave, Ste 402, Charleston, WV 25302-3302 | 2014-06-04 |
| 1881031557 | Integrated Health Care Providers, Inc. | Surgery | 830 Pennsylvania Ave, Suite 305, Charleston, WV 25302-3302 | 2013-06-04 |
| 1528300829 | Brandi Elizabeth Sentz | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2013-03-25 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1174842140 | Ashley E Meyer | Pediatrics | 830 Pennsylvania Ave, Ste 103, Charleston, WV 25302-3302 | 2010-05-28 |
| 1134456171 | Marsha Harris | Registered Nurse | 830 Pennsylvania Ave, Ste 104, Charleston, WV 25302-3302 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1730602319 | Shelbourne & Associates Oral and Facial Surgery | Oral & Maxillofacial Surgery | 198 Rutledge Ave Ste 4, Charleston, SC 29403-5834 | 2017-07-25 |
| 1861400756 | Integrated Health Care Providers, Inc. | Oral & Maxillofacial Surgery | 415 Morris St Ste 309, Charleston, WV 25301-1853 | 2006-08-04 |
| 1699781294 | Integrated Health Care Providers, Inc. | Oral & Maxillofacial Surgery | 830 Pennsylvania Ave Ste 302, Charleston, WV 25302-3390 | 2006-08-01 |
| 1952748196 | Samir Waris | Oral & Maxillofacial Surgery | 415 Morris St Ste 309, Charleston, WV 25301-1853 | 2013-05-29 |
| 1477694230 | University Medical Associates | Oral & Maxillofacial Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-02-12 |
| 1790898732 | Beverly Attaway | Oral & Maxillofacial Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-16 |
| 1225057185 | Integrated Health Care Providers, Inc. | Oral & Maxillofacial Surgery | 415 Morris St, Suite 304, Charleston, WV 25301-1842 | 2006-07-19 |
| 1518983857 | Betsy Kay Davis | Oral & Maxillofacial Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-07-13 |
| 1942256839 | Michael W Tabor | Oral & Maxillofacial Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-05-25 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.