Brennan Matthew Wood, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4398 Issued in WV

Practice address

142 Holiday LN
Lewisburg, WV 24901-9315

Phone

(304) 645-2300

NPI assigned

May 30, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1235797804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 COFFMAN APPROACH RD",
            "city": "ALDERSON",
            "state": "WV",
            "postal_code": "249107159",
            "telephone_number": "304-661-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HOLIDAY LN",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019315",
            "telephone_number": "304-645-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRENNAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Scott Wilson, D.M.D
• Patricia W Withrow, RN
• Walter Witryol, M.D.
• Alexander Richard Woinski
• Benjamin Lewis Wolf, DO
• Christopher Don Wood, D.O.
• Krystel Fernandes Wood
• Aaron Workman
• Timothy O Workman, DO
• Kelly Wright

• General Practice Dentistry in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.