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DR. BRUCE BRIAN HORSWELL MD DDS NPI 1417911975


NPI Information

NPI: 1417911975
Provider Name: DR. BRUCE BRIAN HORSWELL, MD, DDS
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
830 PENNSYLVANIA AVE
SUITE 302
CHARLESTON, WV
ZIP 25302
Phone: (304) 388-2950
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DR. Bruce Brian Horswell, MD, DDS is an oral maxillofacial surgery in Charleston, WV with 45 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Bruce Brian Horswell, MD, DDS NPI is 1417911975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduation Year:1979

The provider's business location address is:

830 PENNSYLVANIA AVE
SUITE 302
CHARLESTON, WV
ZIP 25302-302
Phone: (304) 388-2950
Fax: (304) 388-2951

The NPI 1417911975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 12/21/2015.


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
11223S0112XDentistOral and Maxillofacial Surgery3483WEST VIRGINIANo
2204E00000XOral & Maxillofacial Surgery20528WEST 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
1HO4050761MEDICARE PIN
2HO4050762MEDICARE PIN
3190009986OTHERRAILROAD MEDICARE
4F84009MEDICARE UPIN
53002311000MEDICAIDWEST VIRGINIA
6190009986MEDICARE PIN
74002072000MEDICAIDWEST 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.