Bruce Baxter Brown
Individual provider Active NPI Personal Care Attendant · Madison, WV
NPI 1154037059 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1154037059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1 Avenue C BLDG Suite109
Madison, WV 25130-1100 - Phone
- (304) 369-6400
- NPI assigned
- Jan 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1 Avenue C BLDG Suite109
Madison, WV 25130-1100
Mailing address
1 Avenue C BLDG Suite109
Madison, WV 25130-1100
Phone (304) 369-6400
Other providers in Madison, WV
- Boone Primary Care Clinic
- April Bothwell
- April Bragg
- Ruth Broadnax
- Amanda Brown
- Lee Ann Brown
- Loretta Marie Brown
- Rhonda L Brown
- Tammy J Brown
- Brooke Brumfield
All providers in Madison, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.