| Medbrook Medical Associates Inc | |
|
1370 Johnson Avenue Bridgeport WV 26330-1382 | |
| (304) 842-7186 | |
| (304) 842-9005 |
| Full Name | Medbrook Medical Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1370 Johnson Avenue, Bridgeport, West Virginia |
| Authorized Official Name and Position | Tim G Bugin (VP PAYOR CONTRACTING) |
| Authorized Official Contact | 3042252500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medbrook Medical Associates Inc Po Box 719 Dellslow WV 26531-0719 Ph: (304) 842-7186 | Medbrook Medical Associates Inc 1370 Johnson Avenue Bridgeport WV 26330-1382 Ph: (304) 842-7186 |
| NPI Number | 1013960632 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013960632 | NPI | - | NPPES |
| 01265 | Other | WV | STATE LICENSE |
| 51D0925226 | Other | WV | CLIA |
| 0010647002 | Other | WV | MEDICAID LAB |
| 0010647000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Community Care Of Bridgeport Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Market Pl, Bridgeport, WV 26330 Phone: 304-848-5770 Fax: 304-848-0890 | |
Mountainstate Infectious Disease, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 W Main St Ste B, Bridgeport, WV 26330 Phone: 301-641-1822 Fax: 304-250-9933 | |
Uhc Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330 Phone: 681-342-3600 Fax: 681-342-3625 | |
Uhc Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 Medical Park Dr Ste 402, Bridgeport, WV 26330 Phone: 681-342-3690 | |
Bridgeport Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Johnson Ave, Suite 1100, Bridgeport, WV 26330 Phone: 304-848-0338 | |
Bridgeport High School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Johnston Avenue, Bridgeport, WV 26330 Phone: 304-326-7137 Fax: 304-587-2594 |