DR. BILL D. UNDERWOOD


Address: 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421
Phone: 6813423500

DR. BILL D. UNDERWOOD (NPI# 1790764850) 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) 1790764850
Entity Type Individual
Full Name DR. BILL D. UNDERWOOD
Credential M.D., PH.D.
Practice Address 227 Medical Park Dr Ste 103
Bridgeport
WV 26330-8421
Practice Telephone 6813423500
Practice Fax Number 6813423561
Mailing Telephone 6813423500
Mailing Fax Number 6813423561
Enumeration Date 2006-01-17
Last Update Date 2019-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 24728 WV Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery 4301070369 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD 700F318300 01
MI AETNA HEALTH PLANS 0007382674 01
MI HEALTH ALLIANCE PLAN I33602 01
MI 104744530 05
MI CAPE HEALTH PLAN 000000012553 01

Office Location

Street Address 227 MEDICAL PARK DR STE 103
City BRIDGEPORT
State WV
Zip Code 26330-8421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073153912 Hollie Gray Registered Nurse 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 2020-01-08
1609391903 Stephanie Dawn Ice Nurse Practitioner 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-9038 2017-08-08
1487175154 Lauren Cook Nurse Practitioner 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-9038 2017-07-03
1134516107 Annas Sabbagh Pain Medicine 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 2015-04-17
1346634201 Megan Muncy Nurse Practitioner 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 2015-03-27
1730599044 Gobind Pratap Singh Student in an Organized Health Care Education/Training Program 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 2014-05-08
1003171323 Heather J Earl Physician Assistant 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 2012-07-12
1508155219 Claudia Patricia Ramirez Psychiatry & Neurology 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-9038 2011-04-04
1568606408 Koshy Mathews Mathai Anesthesiology 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 2009-04-22
1194765180 David Benjamin Cohen Neurological Surgery 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 2006-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303036 Gage Mackenzie Chichester Nurse Anesthetist, Certified Registered 2673 Medical Park Drive, Bridgeport, WV 26330 2020-10-12
1851914105 Melany Langhurst Social Worker 64 Professional Place, Suite 102, Bridgeport, WV 26330 2020-05-21
1245704980 Adam Christopher Stonestreet Social Worker Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 2019-01-16
1588146658 Bridgeport Physical Therapy Services, Inc. Occupational Therapist 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 2018-09-05
1275040685 White Oaks Assisted Living Assisted Living Facility 140 Professional Place White Oaks, Bridgeport, WV 26330 2018-01-08
1275049371 Regional Eye Associates, Inc Ophthalmology 220 Southview Drive, Bridgeport, WV 26330 2017-12-27
1528586187 Savanna Tamia Brown Social Worker 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 2017-09-05
1184079642 Karla Kay Rinehart Social Worker 27 Trovato St., Suite 103, Bridgeport, WV 26330 2016-05-03
1396176756 Willo Group LLC Pharmacy 460 E. Main Street, Bridgeport, WV 26330 2013-12-10
1891031878 Sherri Michelle Dobson Occupational Therapy Assistant 1000 Maplewood Dr, Bridgeport, WV 26330 2012-12-20
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477737328 Patrick P Mastroianni Md PC Neurological Surgery 340 Capital Ave, Bridgeport, CT 06606 2007-12-27
1265621163 Michael E Opalak Md PC Neurological Surgery 340 Capitol Avenue, Bridgeport, CT 06606 2007-10-17
1538364914 Vincent J Miele Neurological Surgery 527 Medical Park Drive, Suite 401, Uhc Neurosurgery & Spine Center, Bridgeport, WV 26300 2007-06-18
1164452413 Daniel Edgardo Nijensohn Neurological Surgery 340 Capitol Ave, Bridgeport, CT 06606-5445 2006-07-03
1710961669 Richard Allen Douglas Neurological Surgery 527 Medical Park Drive, Suite 401, Bridgeport, WV 26330 2005-12-05
1891164000 Mary Anne Varner Neurological Surgery 227 Medical Park Drive, Suite 103, Bridgeport, WV 26330 2015-09-17
1326237256 Daniel E Nijensohn Md PC Neurological Surgery 340 Capitol Ave, Bridgeport, CT 06606 2007-10-16
1902000276 Connecticut Neurosurgical Specialists, P.C. Neurological Surgery 267 Grant Street, Schine 8, Bridgeport, CT 06610-2805 2007-06-12
1306929476 United Hospital Center, Inc Neurological Surgery 527 Medical Park Drive, Ste 401, Bridgeport, WV 26330 2006-10-23
1699783647 Michael Ernest Opalak Neurological Surgery 340 Capitol Ave, Bridgeport, CT 06606 2006-08-04
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Competitor

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City BRIDGEPORT
Zip Code 26330

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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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