Individual provider Active NPI

Brandon Hugh Webb, D.O.

  • Internal Medicine Physician
  • Louisa, KY
National Provider Identifier
1285859645
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
03165 Issued in KY
Practice address
23 A St Ste B
Louisa, KY 41230-6001
Phone
(606) 638-3323
Fax
(606) 638-9271
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 03165 KY Primary

Addresses

Primary practice location

23 A St Ste B
Louisa, KY 41230-6001

Mailing address

PO Box 30
Louisa, KY 41230-0030
Phone (606) 638-1154

Other identifiers 2

IdentifierTypeStateIssuer
1285859645OtherWVBCBS WV
1285859645MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090720000546 KY Practitioner - Internal Medicine 8022160142 Reassigns benefits to 1 organization
I20131008001605 WV Practitioner - Internal Medicine 8022160142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

203 S Water St
Louisa, KY 41230-1347
Phone (606) 638-3323

23 A St
Suite B
Louisa, KY 41230-6001
Phone (606) 638-4504

2483 Hwy 644
Louisa, KY 41230-9242

2483 Hwy 644 102
Louisa, KY 41230-9242
Phone (606) 638-7488

2483 Hwy 644 104
Louisa, KY 41230-9242
Phone (606) 638-7288

2483 Hwy 644 107
Louisa, KY 41230-9242
Phone (606) 638-1154

2483 Hwy 644 201
Louisa, KY 41230-9242
Phone (606) 638-9404

2485 Hwy 644
Louisa, KY 41230-9242
Phone (606) 638-1154

Hospital & facility affiliations

  • Caretenders - Louisa Home health agency, Louisa, KY, CCN 187160
  • King'S Daughters' Medical Center HHA Home health agency, Ashland, KY, CCN 187047
  • Three Rivers Medical Center Hospital, Louisa, KY, CCN 180128
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03165KYMDInternal Medicine Physician
2284WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital of Louisa, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brandon.webb.1@1954.direct.athenahealth.com
  • Direct secure messaging: bwebb117@yourcarecommunity.org

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1285859645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300030",
            "telephone_number": "606-638-1154",
            "fax_number": "606-638-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 A ST STE B",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412306001",
            "telephone_number": "606-638-3323",
            "fax_number": "606-638-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "BRANDON",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "03165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WV",
            "identifier": "1285859645",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285859645",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.