Brandon Cestaric Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1905 Issued in WV

Legal business name

BRANDON CESTARIC FAMILY MEDICINE, PLLC

Practice address

RR 1 Box 62a
Ripley, WV 25271-9710

Phone

(304) 373-0280

Fax

(304) 373-0281

NPI assigned

Jul 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandon A. Cestaric, DO

Title

Physician

Phone

(304) 373-0280

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1073545570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 62A",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719710",
            "telephone_number": "304-373-0280",
            "fax_number": "304-373-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 62A",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719710",
            "telephone_number": "304-373-0280",
            "fax_number": "304-373-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON CESTARIC FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "CESTARIC",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-373-0280",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010399",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Boggess
• Victoria Boldman, FNP-C
• Joshua Booth
• Amanda Bowman, NP-C
• Deanna Braham
• Brian J Brown, MD
• Jacqueline Brown
• Jennifer Brown, OTR/L
• Courtney Buchanan
• Kimberly Buchanan

• Family Medicine Physician in Ripley, WV
• Providers in Ripley, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.