Adnan Alghadban, M.D.
Individual provider Active NPI Neurology Physician · Bridgeport, WV
NPI 1043323199 · NPPES record last updated Sep 1, 2023
Key facts
- NPI
- 1043323199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 21350 (WV)
- Practice address
- 527 Medical Park Drive, Ste. 204
Associated Specialists, Inc.
Bridgeport, WV 26330 - Phone
- (304) 933-3800
- Fax
- (304) 933-3814
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monongalia County General Hospital Company
Associated Specialists, Inc
Practice addresses (Care Compare)
1200 J D Anderson Dr
Suite 301
Morgantown, WV 26505-3494
Phone (304) 598-1996
527 Medical Park Dr
Bridgeport, WV 26330-9009
Phone (304) 933-3800
Hospital & facility affiliations
- Mon Health Medical Center
- United Hospital Center, Inc
- Stonewall Jackson Memorial Hospital Company
- St Joseph'S Hospital of Buckhannon, Inc
- Webster Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040513000590 | WV | Practitioner - Neurology |
7315832284 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21350 | WV | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monongalia County General Hospital Company | Current |
Accepting new patients | |
| Mon Health Marion Neighborhood Hospital, Inc. | Current |
Accepting new patients | |
| Associated Specialists, Inc. | Current |
Accepting new patients | |
| Stonewall Jackson Memorial Hospital Company | Current |
Accepting new patients | |
| Stonewall Jackson Memorial Hospital Company | Current |
Accepting new patients | |
| Mon Health Marion Neighborhood Hospital, Inc. | Past |
Accepting new patients |
Locations
527 Medical Park Dr
Ste 204
Bridgeport, WV 26330
Phone (304) 623-5711
1513 Johnson Ave
Bridgeport, WV 26330
Phone (304) 842-5864
100 Main St
Farmington, WV 26571
Phone (304) 825-2063
150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701
1200 J D Anderson Dr
Ste 301
Morgantown, WV 26505
Phone (304) 598-1996
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000
140 Middletown Loop
White Hall, WV 26554
Phone (304) 333-1150
Interoperability endpoints
- adnan.alghadban@asidrs.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 21350 | WV | Yes |
Addresses
Primary practice location
527 Medical Park Drive, Ste. 204
Associated Specialists, Inc.
Bridgeport, WV 26330
Mailing address
527 Medical Park Drive, Ste. 204
Associated Specialists, Inc.
Bridgeport, WV 26330
Phone (304) 933-3800
Other practice location 1
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006875000 | Medicaid | WV |
NPI Registry JSON
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1043323199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DRIVE, STE. 204",
"address_2": "ASSOCIATED SPECIALISTS, INC.",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-933-3800",
"fax_number": "304-933-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DRIVE, STE. 204",
"address_2": "ASSOCIATED SPECIALISTS, INC.",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-933-3800",
"fax_number": "304-933-3814"
}
],
"practiceLocations": [
{
"address_1": "1200 J D Anderson Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265053494",
"country_code": "US",
"telephone_number": "304-598-1200",
"fax_number": "304-598-1699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALGHADBAN",
"first_name": "ADNAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WV",
"license": "21350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2006875000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
- Oluyemi Akin-Olugbade
- Ali Al-Fares
- Zaid Abed Al-Kariem a. Al-Qudah
- Peter J Alasky
- Stephanie Alex
- Shamsher Ali
- All Med, LLC
- Allegheny Emergency Physicians, LLP
- Eddie Allen
- Erin Gale Allen
All providers in Bridgeport, WV · Neurology Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.