| Brian Powderly, MD | |
|
2675 36th St, Parkersburg, WV 26104-8024 | |
| (304) 422-8112 | |
| (304) 422-3924 |
| Full Name | Brian Powderly |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2675 36th St, Parkersburg, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134196835 | NPI | - | NPPES |
| 2125417 | Medicaid | OH | |
| 000147520 | Other | MS BCBS | |
| 0057420000 | Medicaid | WV | |
| 110019344 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14380 (West Virginia) | Primary |
| 207Q00000X | Family Medicine | 35076176P (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Powderly, MD 301 Saint Andrews Blvd, Belpre, OH 45714-9327 Ph: (304) 422-8112 | Brian Powderly, MD 2675 36th St, Parkersburg, WV 26104-8024 Ph: (304) 422-8112 |
Tara Lynn Staats, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Rosemar Cir, Parkersburg, WV 26104 Phone: 304-865-5130 Fax: 304-485-1519 | |
Ellen Renee Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 184 Holiday Hills Dr, Parkersburg, WV 26104 Phone: 304-420-2400 Fax: 304-420-9014 | |
Stacie D Gump, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2838 Pike Street, Wvu Medicine Patriot Pointe Camden Clark Physici Corpor, Parkersburg, WV 26101 Phone: 304-865-5070 Fax: 304-489-4250 | |
Dr. Terry William Capel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 Phone: 304-865-5120 | |
Wessley Square, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2107 Pike St, Parkersburg, WV 26101 Phone: 304-865-5501 | |
Stephan D Hanna, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Ann St, Parkersburg, WV 26101 Phone: 304-424-4205 Fax: 304-424-4485 |