Individual provider Active NPI

Charles Bradley Franz, M.D.

  • Dermatology Physician
  • Bridgeport, WV
National Provider Identifier
1215973995
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
16248 Issued in WV
Practice address
120 Medical Park Dr
Suite 200
Bridgeport, WV 26330-9012
Phone
(304) 624-7200
Fax
(304) 624-0026
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain State Medical Specialties PLLC 38 clinicians

Practice addresses (Care Compare)

120 Medical Park Dr
Suite 200
Bridgeport, WV 26330-9013
Phone (304) 624-7200

Hospital & facility affiliations

  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
88.74
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1316
Removal or shaving of skin growth1-10
Skin biopsy358

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040323001631 WV Practitioner - Dermatology 8527956994 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16248WVMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain State Medical Specialties, PLLC Dermatology CurrentSince Jan 1, 2000 Accepting new patients
Keith M Newman, DPM Past Accepting new patients

Locations

120 Medical Park Dr
Ste 200
Bridgeport, WV 26330
Phone (304) 624-7200

700 W Pike St
Ste 200
Clarksburg, WV 26301
Phone (304) 624-6821

125 N 6th St
Clarksburg, WV 26301
Phone (304) 623-6533

165 Scott Ave
Ste 100
Morgantown, WV 26508
Phone (304) 554-0400

Interoperability endpoints

  • Direct secure messaging: cfranz@msms.emadirect.md

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 16248 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

120 Medical Park Dr
Suite 200
Bridgeport, WV 26330-9012

Mailing address

125 N 6TH St
Clarksburg, WV 26301-2665
Phone (304) 624-7200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0069971000MedicaidWV

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2015.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1215973995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N 6TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012665",
            "telephone_number": "304-624-7200",
            "fax_number": "304-624-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL PARK DR",
            "address_2": "SUITE 200",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309012",
            "telephone_number": "304-624-7200",
            "fax_number": "304-624-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANZ",
        "first_name": "CHARLES",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "16248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069971000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.