Brandon L Fain (NPI# 1447458609, PAC ID# 6305931718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1447458609 |
| PAC ID by PECOS | 6305931718 |
| Professional Enrollment ID | I20071001000243 |
| Full Name | Brandon L Fain |
| Organization Legal Name | PRINCETON COMMUNITY HOSPITAL ASSOC., INC |
| Address |
1333 Southview Dr Bluefield WV 24701-4317 |
| Phone Number | 3043279205 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678482221 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510046 | PRINCETON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 401 E Vermillion St, Athens, WV 24712-8005 | 3043847325 | PRINCETON COMMUNITY HOSPITAL ASSOC., INC |
| 1333 Southview Dr, Bluefield, WV 24701-4317 | 3043279205 | PRINCETON COMMUNITY HOSPITAL ASSOC., INC |
| Organization Legal Name | PRINCETON COMMUNITY HOSPITAL ASSOC., INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Perdue Jr. | Physician Assistant | Princeton Community Hospital Assoc., Inc | 401 E Vermillion St, Athens, WV 24712-8005 |
| Hrak P. Chemchirian | Cardiovascular Disease (cardiology) | Princeton Community Hospital Assoc., Inc | 122 12th St, Princeton, WV 24740-2312 |
| David E Hutchison | Physician Assistant | Princeton Community Hospital Assoc., Inc | 401 E Vermillion St, Athens, WV 24712-8005 |
| Lee Elliott Smith | Otolaryngology | Princeton Community Hospital Assoc., Inc | 401 E Vermillion St, Athens, WV 24712-8005 |
| Street Address |
1333 SOUTHVIEW DR |
| City | BLUEFIELD |
| State | WV |
| Zip | 24701-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Alexander Rowe | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 1333 Southview Dr, Bluefield, WV 24701-4317 |
| Bethany Gravely | Clinical Social Worker | Princeton Community Hospital Assn., Inc. | 1333 Southview Dr, Bluefield, WV 24701-4317 |
| Jeffrey T Gee | Psychiatry | Princeton Community Hospital Assn., Inc. | 1333 Southview Dr, Bluefield, WV 24701-4317 |
| Chester T. Frethiem | Psychologist, Clinical | 1333 Southview Dr, Bluefield, WV 24701-4317 | |
| Aisha Stevenson Reikow | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 1333 Southview Dr, Bluefield, WV 24701-4317 |
| Ira T Webb Jr. | Physician Assistant | Princeton Community Hospital Assn., Inc. | 1333 Southview Dr, Bluefield, WV 24701-4317 |
| Emily S Boothe | Psychiatry | Princeton Community Hospital Assn., Inc. | 1333 Southview Dr, Bluefield, WV 24701-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamed Ak Sekkarie | Nephrology | Nephrology and Hypertension | 1113 Bluefield Ave, Suite 102, Bluefield, WV 24701-2747 |
| Trina R Sluss | Nurse Practitioner | Nephrology and Hypertension | 1113 Bluefield Ave, Bluefield, WV 24701-2747 |
| Mary H Burks | Registered Dietitian Or Nutrition Professional | Nephrology and Hypertension | 1113 Bluefield Ave, Bluefield, WV 24701-2747 |
| Gary P Mccarthy | Orthopedic Surgery | Bluefield Clinic Company LLC | 510 Cherry St, Bluefield, WV 24701-3300 |
| Tabitha E Cox | Physician Assistant | Robert W Edwards IIi Md Inc | 488 Cherry St, Suite 2, Bluefield, WV 24701-3304 |
| Robert Edwards | Obstetrics/gynecology | Robert W Edwards IIi Md Inc | 488 Cherry St, Suite 2, Bluefield, WV 24701-3304 |
| Amanda H Reese | General Surgery | Bluefield Clinic Company LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Randy M Brodnik | Obstetrics/gynecology | 504 A Cherry St, Bluefield, WV 24701-3306 | |
| Omid Hozumi | Anesthesiology | Clinical Colleagues Inc | 500 Cherry St, Bluefield, WV 24701-3306 |
| John Riddle | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 500 Cherry St, Bluefield, WV 24701-3306 |
| Find all physicians in zip 24701 | |||
| City | BLUEFIELD |
| Zip Code | 24701 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BLUEFIELD + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.