Brandon August Cestaric, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1905 Issued in WV

Practice address

512A South Church Street
Ripley, WV 25271-1616

Phone

(304) 372-1033

Fax

(304) 373-0223

NPI assigned

Mar 8, 2006

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Association

  dba JGH Therapy and SportsCare

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1124369780
  NPD (past)
• Wetzel County Hospital Association

  dba Wetzel County Hospital Physicians

  • Internal Medicine Physician
  • New Martinsville, WV
  • NPI 1699728337

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1093783060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512A SOUTH CHURCH STREET",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711616",
            "telephone_number": "304-372-1033",
            "fax_number": "304-373-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESTARIC",
        "first_name": "BRANDON",
        "middle_name": "AUGUST",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015445",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010399",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2601590",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842022000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00403709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denvil Casto
• Hanni Casto
• Megan Casto
• Stephanie Casto, LICSW
• Valerie Casto
• Dolly A Chadock
• Sharon Chandler
• Calah L Chaney
• Charleston Area Medical Center, Inc.
• Trina Leann Clark

• 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 Nov 8, 2021; 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.