Active NPI
Brian Damien Dean
- Peer Specialist
- Elkins, WV
National Provider Identifier
1154201671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 25-987SUD
- Practice address
- 1123 S Davis Ave
Elkins, WV 26241-3529 - Phone
- (681) 378-3908
- NPI assigned
- Sep 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 25-987SUD | WV | Primary |
Addresses
Primary practice location
1123 S Davis Ave
Elkins, WV 26241-3529
Mailing address
1123 S Davis Ave
Elkins, WV 26241-3529
Phone (681) 378-3908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-987SUD | WV | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1154201671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 S DAVIS AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413529",
"telephone_number": "681-378-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 S DAVIS AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413529",
"telephone_number": "681-378-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "BRIAN",
"middle_name": "DAMIEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WV",
"license": "25-987SUD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.