JEFFERY T BRAHAM (NPI# 1790788545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790788545 |
| Entity Type | Individual |
| Full Name | JEFFERY T BRAHAM |
| Credential | DO |
| Practice Address |
800 Grand Central Mall Suite 4 Vienna WV 26105-4131 |
| Practice Telephone | 3044853300 |
| Practice Fax Number | 3044853317 |
| Mailing Telephone | 3044853300 |
| Mailing Fax Number | 3044853317 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 34.008763 | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 1492 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0046514000 | 05 |
| Street Address |
800 GRAND CENTRAL MALL SUITE 4 |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051390 | Robert Randal Heavner | Family Medicine | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 | 2005-05-24 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1982080057 | Amanda Holman | Registered Nurse | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2015-07-30 |
| 1073903373 | Mid-ohio Valley Nephrology Association | Family Medicine | 800 Grand Central Mall, Suite 9, Vienna, WV 26105-4100 | 2015-01-26 |
| 1801204003 | William A Cline, Do, Pllc | Surgery | 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | 2014-07-31 |
| 1932459542 | Heather Nichole Nutter | Audiologist | 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 | 2012-09-12 |
| 1215284997 | Pamela J Parker | Nurse Practitioner | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2012-08-13 |
| 1609139906 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 800 Grand Central Mall, Suite 6, Vienna, WV 26105-4100 | 2012-06-21 |
| 1720368483 | Matthew Dean Sells | Physical Therapist | 800 Grand Central Mall, Suite 1, Vienna, WV 26105-4100 | 2011-08-25 |
| 1265732093 | Megan Ann Fluharty | Physician Assistant | 800 Grand Central Mall, Ste 3, Vienna, WV 26105-4100 | 2010-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| 1356772677 | Drs. Krajekian,brock & Henderson Inc | Dentist | 417 Grand Park Dr, Suite 103, Parkersburg, WV 26105 | 2013-12-12 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759903 | Healing Hands Medical Center | Family Medicine | 1964 Gallows Rd Ste 300, Vienna, VA 22182-3814 | 2020-04-22 |
| 1003264730 | Anh Truong | Family Medicine | 115 Park St Se Ste 300, Vienna, VA 22180-4653 | 2016-06-03 |
| 1194136986 | Kimaya M Vaidya | Family Medicine | 2671 Avenir Pl Ste B, Vienna, VA 22180-7485 | 2014-05-14 |
| 1780815738 | Saira Thompson | Family Medicine | 2671 Avenir Pl, Vienna, VA 22180-7485 | 2009-08-06 |
| 1013144419 | Eric M Thomson | Family Medicine | 115 Park Street Se, Suite 300, Vienna, VA 22180 | 2009-06-12 |
| 1942412333 | Lynese L Lawson | Family Medicine | 2104 Gallows Rd, Vienna, VA 22182-3929 | 2007-05-05 |
| 1184848004 | Barnett G Mennen | Family Medicine | 1880 Howard Ave, Suite 300, Vienna, VA 22182-2667 | 2007-04-12 |
| 1013032283 | Fairfax Family Practice Centers PC | Family Medicine | 115 Park Street, Suite 300, Vienna, VA 22180 | 2007-03-20 |
| 1609911601 | Fakhria Masumi Khorrami | Family Medicine | 180 Maple Ave W, Vienna, VA 22180-5727 | 2007-02-20 |
| 1700942711 | Homaira Behsudi-wali | Family Medicine | 1608 Spring Hill Rd, Emergency Usa Family Medical Center, Vienna, VA 22182 | 2006-12-28 |
| Find all providers in VIENNA | ||||
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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.