BRUCETON MEDICAL CENTER (NPI# 1811261225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811261225 |
| Entity Type | Organization |
| Organization Name | BRUCETON MEDICAL CENTER |
| Practice Address |
198 Morgantown Street Suite B Bruceton Mills WV 26525 |
| Mailing Address |
Po Box 50 Bruceton Mills WV 26525-1150 |
| Practice Telephone | 3043797600 |
| Practice Fax Number | 3043797599 |
| Mailing Telephone | 3043797600 |
| Mailing Fax Number | 3043797599 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | DR. ROBERT PHARES (OWNER) |
| Authorized Official Telephone | 3043797600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 2005711000 | 05 |
| Street Address |
198 MORGANTOWN STREET SUITE B |
| City | BRUCETON MILLS |
| State | WV |
| Zip Code | 26525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881025021 | Practitioner - Bjarni Thomas Aprn, LLC | Advanced Practice Midwife | 198 Morgantown Street, Bruceton Mills, WV 26525 | 2013-12-12 |
| 1861742629 | Alysia Renee Funk | Nurse Practitioner | 198 Morgantown Street, Bruceton Mills, WV 26525 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813258 | Twyla Lee Wolfe | Technician | 208 Compressor Station Rd, Bruceton Mills, WV 26525 | 2020-08-26 |
| 1124631510 | Beverly Louise Wolfe | Technician | 220 Compressor Station Rd, Bruceton Mills, WV 26525 | 2020-08-26 |
| 1346721636 | Michele L Wotring | Physical Therapist | 37 Morgantown Street, Bruceton Mills, WV 26525 | 2018-08-24 |
| 1871083303 | Heather Marie Hartsell | Nurse Practitioner | 198 Morgantown St Ste 2, Bruceton Mills, WV 26525 | 2018-05-10 |
| 1841793890 | Amy Armel | Family Medicine | 1640 Sky View Drive, Bruceton Mills, WV 26525 | 2018-03-16 |
| 1215385935 | Bruceton Dental Pllc | Clinic/Center | 128 Green Street, Bruceton Mills, WV 26525 | 2016-06-03 |
| 1922477637 | Omar Attarabeen | Pharmacist | 198 Morgantown Street Suite 1, Bruceton Mills, WV 26525 | 2015-09-23 |
| 1902223340 | Bruceton Pharmacy | Pharmacy | 198 Morgantown St, Suite 1, Bruceton Mills, WV 26525 | 2014-03-24 |
| 1902242290 | Bruceton Wellness Center Pllc | Chiropractor | 207 Morgantown St. Suite 2, Bruceton Mills, WV 26525 | 2013-05-14 |
| 1346510906 | Steven Christopher Lint | Chiropractor | 207 Morgantown St., Suite 2, Bruceton Mills, WV 26525 | 2012-01-12 |
| Find all providers in zip 26525 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1588039242 | Summersville Outpatient Center | Clinic/Center | 100 Florence Street, Ansted, WV 25812 | 2015-12-07 |
| 1801283882 | Mingo County Family Wellness Center LLC | Clinic/Center | 50 Lenore Business Center, Williamson, WV 25661 | 2015-04-17 |
| 1639412398 | Potomac Integrative Health Pllc | Clinic/Center | 51 Maddex Square Drive, Shepherdstown, WV 25443-4310 | 2013-04-01 |
| 1831447499 | William Conrad Inc. | Clinic/Center | 154 Oak View Ln, New Creek, WV 26743-4544 | 2012-08-29 |
| 1548518095 | Charles Town Health Right, Inc | Clinic/Center | 1212 N. Mildred St., Ranson, WV 25438-5552 | 2012-08-15 |
| 1154676096 | Mebrahtom Tesfai Pllc | Clinic/Center | 212 Professional Park, Beckley, WV 25801-3624 | 2012-07-17 |
| 1679832646 | Health Thru Care, LLC | Clinic/Center | 1397 Earl L. Core Road, Sabraton Plaza, Morgantown, WV 26505 | 2012-05-11 |
| 1629364351 | Spring Valley Family Care | Clinic/Center | 27 Springfield Pike, Springfield, WV 26763 | 2011-06-21 |
| 1588961577 | City Pediatrics | Clinic/Center | 1804 W King St, Suite 200, Martinsburg, WV 25401-2004 | 2011-02-28 |
| Find all providers with the same taxonomy | ||||
| City | BRUCETON MILLS |
| Zip Code | 26525 |
Please comment or provide details below to improve the information on BRUCETON MEDICAL CENTER.
| 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.