Bradley Nine, MD | |
3200 Maccorkle Ave Se, Charleston, WV 25304-1297 | |
(304) 388-5432 | |
Not Available |
Full Name | Bradley Nine |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 3200 Maccorkle Ave Se, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053363127 | NPI | - | NPPES |
0075463000 | Medicaid | WV | |
00683538 | Other | WV | BLUE CROSS BLUE SHIELD |
0891003 | Medicaid | OH | |
3001160 | Other | WV | WORKERS COMPENSATION |
64699267 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 15916 (West Virginia) | Secondary |
207R00000X | Internal Medicine | 15916 (West Virginia) | Primary |
Entity Name | Greenbrier Emergency Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20031205000043 |
Entity Name | Charleston Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Entity Name | Allied West Virginia Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487109104 PECOS PAC ID: 8325326648 Enrollment ID: O20161020001514 |
Entity Name | Racine Observation Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588196851 PECOS PAC ID: 1254601578 Enrollment ID: O20170719003225 |
Mailing Address | Practice Location Address |
---|---|
Bradley Nine, MD 3200 Maccorkle Ave Se, Charleston, WV 25304-1297 Ph: () - | Bradley Nine, MD 3200 Maccorkle Ave Se, Charleston, WV 25304-1297 Ph: (304) 388-5432 |
Dr. Asif Rahman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304 Phone: 304-344-2900 Fax: 304-344-9385 | |
David L Namay, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3411 B Noyes Avenue Se, Charleston, WV 25304 Phone: 304-720-3206 Fax: 304-720-3207 | |
Joseph Jarrell, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Laidley St Ste 605, Charleston, WV 25301 Phone: 304-720-7235 Fax: 304-720-7236 | |
Samar Ryiad Sankari, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1097 Fledderjohn Rd, Charleston, WV 25314 Phone: 304-720-1963 Fax: 304-720-1966 | |
Brittain Mcjunkin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-347-1300 | |
Rupali N. Sangrampurkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5848 Fax: 304-388-9654 | |
George Zaldivar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Avenue Se, Suite 404, Charleston, WV 25304 Phone: 304-346-1811 Fax: 304-343-3086 |