Provider Type Icon

DR. BRENDAN O'HARA MD NPI 1609852920


NPI Information

NPI: 1609852920
Provider Name: DR. BRENDAN O'HARA, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 388-4170
Get Directions

DR. Brendan O'hara, MD is an emergency medicine in Charleston, WV. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Brendan O'hara, MD NPI is 1609852920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-227
Phone: (304) 388-4170

The enumeration date for this NPI number is 12/19/2005 and was last updated on 11/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine20588WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1930111302MEDICARE PINWEST VIRGINIA
2OH4062184MEDICARE PINWEST VIRGINIA
3930122361MEDICARE PINWEST VIRGINIA
4001718061OTHERWEST VIRGINIAWV BCBS
51060164OTHERWEST VIRGINIAWV DWC
64062182MEDICARE PINWEST VIRGINIA
71060167OTHERWEST VIRGINIAWV DWC
84062181MEDICARE PINWEST VIRGINIA
92001076000MEDICAIDWEST VIRGINIA
10P00392857MEDICARE PINWEST VIRGINIA
11D86003MEDICARE UPINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.