Andrew D Bryant, D.O
Individual provider Active NPI Family Medicine Physician · Madison, WV
NPI 1194018093 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1194018093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2862 (WV)
- Practice address
- 701 Madison Ave
Madison, WV 25130-1699 - Phone
- (304) 369-1230
- NPI assigned
- May 25, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boone Memorial Hospital Inc
Practice addresses (Care Compare)
697 Madison Ave
Madison, WV 25130
Phone (304) 369-1230
701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230
701 Madison Ave
Madison, WV 25130-1699
716 Madison Ave
Madison, WV 25130-1624
Phone (304) 369-1230
Hospital & facility affiliations
- Boone Memorial Homecare
- Dignity Home Health
- Centerwell Home Health
- Boone Memorial Hospital
- Thomas Memorial Hospital
- Charleston Area Medical Center
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140918001392 | WV | Practitioner - Family Practice |
7113157637 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015525 | OH | MD | Family Medicine Physician |
| OT014126 | PA | MD | Family Medicine Physician |
| 2862 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Boone Memorial Hospital, Inc | Current |
Accepting new patients | |
| Boone Memorial Hospital, Inc | Family Medicine | Current |
Accepting new patients |
| Boone Memorial Hospital, Inc | Past | Accepting new patients | |
| Boone Memorial Hospital, Inc | Past | Accepting new patients | |
| Boone Memorial Hospital, Inc | Past | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients | |
| Ohio Valley Physicians Inc | Family Medicine | Past | Accepting new patients |
Locations
6952 Coal River Rd
#C
Comfort, WV 25049
Phone (304) 307-3116
300 4th St
Danville, WV 25053
Phone (304) 307-6201
660 S Main St
#A
Madison, WV 25130
Phone (304) 369-1230
716 Madison Ave
Madison, WV 25130
Phone (304) 369-1230
701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/boonemh-81155461
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT014126 | PA | |
| Family Medicine Physician | 207Q00000X | 34.015525 | OH | |
| Family Medicine Physician | 207Q00000X | 2862 | WV | Yes |
Addresses
Primary practice location
701 Madison Ave
Madison, WV 25130-1699
Mailing address
701 Madison Ave
Madison, WV 25130-1699
Phone (304) 369-1230
Other practice location 1
660A S Main St
Madison, WV 25130-1245
Phone (304) 369-4250
Other practice location 2
697 Madison Avenue
Madison, WV 25130
Phone (304) 369-8826
Other providers in Madison, WV
- Loretta Marie Brown
- Rhonda L Brown
- Tammy J Brown
- Brooke Brumfield
- Amanda Kay Bryant
- Candi B Bryant
- Jessica Ann Bryant
- Katelynn Bryant
- Joey Earl Buckner
- Jonna Beth Buckner X
All providers in Madison, WV · Family Medicine Physician 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 May 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.