Brianna Boleware

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

120392 Issued in WV

Practice address

651 Colliers Way Ste 506
Weirton, WV 26062-5054

Phone

(304) 723-3600

Fax

(304) 981-4908

NPI assigned

Jun 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Vic Wood IncGroup PAC ID 0446145742, 4 clinicians

Doctors Urgent Care LLCGroup PAC ID 2163599150, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dr. Vic Wood Inc

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1467458760

  WV

  Medicare reassignment Care Compare group NPD
• Doctors Urgent Care LLC

  • Family Medicine Physician
  • Saint Clairsville, OH
  • NPI 1932355344

  OH

  Medicare reassignment Care Compare group NPD
• Valley Radiologists Inc

  • Diagnostic Radiology Physician
  • Wheeling, WV
  • NPI 1598765182
  NPD (past)
• WMC Physician Practices LLC

  • Internal Medicine Physician
  • Burgettstown, PA
  • NPI 1518303288
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1104667997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070779",
            "telephone_number": "304-797-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 506",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625054",
            "telephone_number": "304-723-3600",
            "fax_number": "304-981-4908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Homestead Ave",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260036638",
            "country_code": "US",
            "telephone_number": "304-232-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLEWARE",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "120392",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0036482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A Blake, R.N.
• David R Blanc, DDS
• David Richard Blum, MA
• Kara Board
• Brandon Bolduc, PA-C
• Shea Bonacci, NP
• Clinton Fitzgerld Bond
• Megan Lynn Boniti, PHARMD
• Mary Elizabeth Boring
• Christian Bosquet, M.D.

• All providers in Weirton, WV
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.