Benjamin Douglas Hines, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26627 Issued in WV

Practice address

65 Professional PL Ste 101
Bridgeport, WV 26330-1889

Phone

(304) 848-5770

NPI assigned

Apr 24, 2013

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benjamin.hines.1@4803.direct.athenahealth.com

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 Care of West Virginia Inc

  dba Adamston Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1851787121
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care of Bridgeport

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, WV
  • NPI 1063808418
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care of Bridgeport

  • Community/Behavioral Health Agency
  • Bridgeport, WV
  • NPI 1144811290
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Mountaineer Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1164809802
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Liberty Middle School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1194111468
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care Connections of Weston

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1275271611
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba North View Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1346636792
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care of Bridgeport

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, WV
  • NPI 1619348844
  Medicare reassignment NPD
• Community Care of West Virginia Inc

  dba CareXpress of Slaty Fork

  • Federally Qualified Health Center (FQHC)
  • Slatyfork, WV
  • NPI 1215741665
  NPD
• Community Care of West Virginia, Inc.

  dba Community Care Connections of Buckhannon

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1063048189
  NPD
• Community Care of West Virginia, Inc.

  dba Buckhannon-Upshur High School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1104177674
  NPD
• Community Care of West Virginia, Inc.

  dba CareXpress of Buckhannon

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1114277050
  NPD

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1144664863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 102103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300258",
            "telephone_number": "304-848-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 101",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301889",
            "telephone_number": "304-848-5770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Drive",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265069186",
            "country_code": "US",
            "telephone_number": "304-293-5251",
            "fax_number": "304-293-8724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "BENJAMIN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "26627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Alexander Hicks, MD
• 1Teresa Lynn Hill
• Katelyn V Hill
• Pamela Hillberry
• Janelle Sue Hineman, PT
• Hinkle Counseling & Psychological Center, PLLC
• Kathy M Hoare, CMF
• Ellen Palmer Hoban, APRN
• Natalie Jo Hoban, MS, SLP
• Alaina Hoch, FNP-C

• Psychiatry Physician in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.