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BRIAN POWDERLY MD NPI 1891833570


NPI Information

NPI: 1891833570
Provider Name: BRIAN POWDERLY MD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2675 36TH ST
PARKERSBURG, WV
ZIP 26104
Phone: (304) 422-8112
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BRIAN POWDERLY MD is a family medicine in Parkersburg, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRIAN POWDERLY MD NPI is 1891833570. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2675 36TH ST
PARKERSBURG, WV
ZIP 26104-024
Phone: (304) 422-8112
Fax: (304) 422-3924

The provider's authorized official is Brian Powderly .
The authorized official title is Owner and has the following contact phone number (304) 422-8112.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 11/1/2016.


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
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineYes

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
13810006475MEDICAIDWEST VIRGINIA
22125417MEDICAIDOHIO
39282251MEDICARE PINWEST VIRGINIA
49282252MEDICARE PINOHIO

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: 11/14/2023

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