Nicole Beth Bryan, MD

Key facts

NPI

1104115807

Entity type

Individual (NPI type 1)

Primary specialty

Infectious Disease Physician 207RI0200X

License

25215 (WV)

Practice address

1 Medical Center Dr
Morgantown, WV 26506-1200

Phone

(304) 598-4800

NPI assigned

Apr 4, 2011

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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

• West Virginia University Medical Corporation Family Medicine Physician · Morgantown, WV · NPI 1275504508
  Medicare reassignment Care Compare group NPD WV
• Spring Mills Medical Center Pediatrics Physician · Falling Waters, WV · NPI 1235489931
  NPD
• West Virginia University Medical Corporation Community/Behavioral Health Agency · Martinsburg, WV · NPI 1174233530
  NPD

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• United Hospital Center, Inc General Acute Care Hospital · Bridgeport, WV · NPI 1184606600
  Care Compare affiliation Hospital
• West Virginia University Hospitals, Inc General Acute Care Hospital · Morgantown, WV · NPI 1841271459
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Infectious Disease
Also: Internal Medicine

Education

West Virginia University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Virginia University Medical Corporation (1,974 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Virginia University Hospitals, Inc Hospital · Morgantown, WV · CCN 510001
• United Hospital Center, Inc Hospital · Bridgeport, WV · CCN 510006

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100 (apm)

Quality

79.86

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

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104115807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265067911",
            "country_code": "US",
            "telephone_number": "304-598-4850",
            "fax_number": "304-598-4871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265067911",
            "country_code": "US",
            "telephone_number": "304-598-4850",
            "fax_number": "304-598-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "NICOLE",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WV",
            "license": "25215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

• Matthew D Brunner, M. D.
• Nancy E Brunner, M.D.
• Anthony Robert Bruno, CCSP
• Christine M Bruno, M.D.
• Shannon Brunzo-Hager
• Nicole P Bryan
• Tiffany A Bryan, DPT
• James Gregory Bryant, DMD
• Katlyn N Bryant, PA-C
• Megan Bryant, CRNA

All providers in Morgantown, WV · Infectious Disease Physician in West Virginia