BRANDON L FAIN


Address: 122 12th Street Ext, Princeton, WV 24740-2352
Phone: 3044877275

BRANDON L FAIN (NPI# 1447458609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447458609
Entity Type Individual
Full Name BRANDON L FAIN
Credential PA-C
Practice Address 122 12th Street Ext
Princeton
WV 24740-2352
Mailing Address 122 12th St
Princeton
WV 24740-2312
Practice Telephone 3044877275
Mailing Telephone 3044877000
Mailing Fax Number 3044315263
Enumeration Date 2007-07-10
Last Update Date 2015-08-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1294 WV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 122 12TH STREET EXT
City PRINCETON
State WV
Zip Code 24740-2352

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215936091 Carlos Fernandez Delara Pathology 122 12th Street Ext, Princeton, WV 24740-2352 2005-07-14
1104286913 Jessica Moses Speech-Language Pathologist 122 12th Street Ext, Princeton, WV 24740-2352 2016-03-07
1669851200 Darrell W Shrewsbury Nurse Practitioner 122 12th Street Ext, Princeton, WV 24740-2352 2015-05-28
1922365089 Ges Hospitalist Services Inc Family Medicine 122 12th Street Ext, Princeton, WV 24740-2352 2012-04-13
1972891265 Misty Dillow Nurse Practitioner 122 12th Street Ext, Princeton, WV 24740-2352 2011-07-20
1558594598 Heather Leigh Harris Physician Assistant 122 12th Street Ext, Princeton, WV 24740-2352 2009-08-25
1598921884 Margaret L Choate Nurse Practitioner 122 12th Street Ext, Princeton, WV 24740-2352 2008-08-06
1992971253 Melissa Dawn Lilly Physician Assistant 122 12th Street Ext, Princeton, WV 24740-2352 2008-05-06
1235311044 Princeton Community Hospital Association, Inc. Psychiatric Unit 122 12th Street Ext, Princeton, WV 24740-2352 2007-12-04
1992923783 Kristin Daveen Bowman Internal Medicine 122 12th Street Ext, Princeton, WV 24740-2352 2007-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658632 New Beginnings Therapy Services, LLC Community/Behavioral Health 616 Harrison Street, Princeton, WV 24740 2020-10-27
1215536222 Right At Home Home Health 313 Locus St, Princeton, WV 24740 2020-10-21
1881208098 Robin Lane Technician 174 Tea Kettle Road, Princeton, WV 24740 2020-09-04
1134739824 Nona Arthur Technician 708 Bluefiled Ave, Princeton, WV 24740 2020-08-06
1851909014 Tina B Altizer Speech-Language Pathologist 120 12th Street, Princeton, WV 24740 2020-07-14
1245712504 Tracy Jean Mitchell Speech-Language Pathologist 1200 Mercer St, Princeton, WV 24740 2018-09-04
1700305240 Tina Six Registered Nurse 1403 Honaker Avenue, Princeton, WV 24740 2017-09-15
1013449172 Karin Cappa Pharmacist 669 Cornfield Rd, Princeton, WV 24740 2017-03-29
1942661723 Virginia Chryssikos Social Worker 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 2016-03-08
1477939460 Kathy Diane Wyrick Counselor 220 South Walker Street, Princeton, WV 24740 2015-08-03
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932571494 Silpa Shaji Physician Assistant 105 Blue Spring Rd, Princeton, NJ 08540-1601 2015-10-23
1407810401 Beth A Hellstern Physician Assistant 208 Bunn Dr, Princeton, NJ 08540-2851 2006-04-14
1134760325 Priya Patel Physician Assistant 613 Executive Dr, Princeton, NJ 08540-1528 2019-09-30
1093147688 Ernestine Malabanan Keh Physician Assistant 727 State Rd, Montgomery Internal Medicine Group, Princeton, NJ 08540-1444 2013-08-06
1013240688 Tabitha E Cox Physician Assistant 904 Harrison St, Princeton, WV 24740-3011 2009-09-14
1891937280 Mona Zimmerman Cohen Physician Assistant 100 College Rd W, Princeton, NJ 08540-6604 2009-03-31
1043477987 Jamie Beth Carosi Physician Assistant 403 12th Street Ext, Princeton, WV 24740-2300 2008-05-19
1215068556 Rex Andrew Blunck Physician Assistant 4000 Tulip Tree Dr, Ss-i, Princeton, IN 47670-2300 2007-03-08
1366580045 Rachel L Livecchi Physician Assistant 419 N Harrison St, Suite 201, Princeton, NJ 08540-3521 2007-02-02
1629121132 Sharon J Barbara Physician Assistant 253 Witherspoon St, Emergency Department, Princeton, NJ 08540-3211 2007-01-19
Find all providers in PRINCETON

Competitor

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City PRINCETON
Zip Code 24740

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Dataset Information

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.

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