NPIMap

Individual provider Active NPI

Brian Daniel Connolly, D.O.

  • Diagnostic Radiology Physician
  • Morgantown, WV
National Provider Identifier
1346538931
Registry record updated Aug 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2645 Issued in WV
Practice address
1 Stadium Drive
Morgantown, WV 26505
Phone
(304) 293-3091
NPI assigned
Jul 16, 2011
Last updated
Aug 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2645 WV Primary
Diagnostic Radiology Physician 2085R0202X OS017817 PA

Addresses

Primary practice location

1 Stadium Drive
Morgantown, WV 26505

Mailing address

1 Stadium Drive
PO Box 9235
Morgantown, WV 26505
Phone (304) 293-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, OH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170525002230 PA Practitioner - Diagnostic Radiology 1850692849 Reassigns benefits to 4 organizations
I20210511000623 WV Practitioner - Diagnostic Radiology 1850692849 Reassigns benefits to 2 organizations
I20251103002509 OH Practitioner - Diagnostic Radiology 1850692849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fayette Physician Network IncGroup PAC ID 3375865819, shared by 2 NPIs, 309 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

451 Murtha Dr
Waynesburg, PA 15370-7010
Phone (855) 988-2273

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

639 W Main St
Barnesville, OH 43713-1039
Phone (740) 425-3941

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2645WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince May 4, 2021 Accepting new patients
St Clair Hospital Upmc Cancer Center Petct CurrentSince Jul 1, 2017 Accepting new patients
Fayette Physician Network Inc CurrentSince May 1, 2025 Accepting new patients
St Clair Medical Services Inc CurrentSince Jul 1, 2017 Accepting new patients
Fayette Physician Network Inc CurrentSince May 1, 2025 Accepting new patients
St Clair Medical Services, Inc. Diagnostic Radiology Current Accepting new patients
West Virginia University Medical Corporation Diagnostic Radiology CurrentSince May 4, 2021 Accepting new patients
South Hills Radiology Associates Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
St Clair Medical Services, Inc. CurrentSince Jul 1, 2017 Accepting new patients

Locations

639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

451 Murtha Dr
Waynesburg, PA 15370
Phone (304) 598-4253

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440201600000",
    "number": "1346538931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STADIUM DRIVE",
            "address_2": "PO BOX 9235",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-293-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STADIUM DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-293-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-16",
        "last_updated": "2015-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "2645",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS017817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.