Organization Active NPI

North Marion Medical Associates, PLLC

  • Family Medicine Physician
  • Mannington, WV
National Provider Identifier
1356660708
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2262 Issued in WV
Legal business name
NORTH MARION MEDICAL ASSOCIATES, PLLC
Practice address
118 Market St
Mannington, WV 26582-1131
Phone
(304) 986-1750
Fax
(304) 986-3742
NPI assigned
May 25, 2010
Last updated
Jul 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Edward P Brennan II, DO
Title
Owner
Phone
(304) 986-1750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2262 WV Primary

Addresses

Primary practice location

118 Market St
Mannington, WV 26582-1131

Mailing address

PO Box 185
White Sulphur Springs, WV 24986-0185
Phone (304) 536-5030

Other names 1

  • Edward Patrick Brennan II Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1356660708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860185",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MARKET ST",
            "city": "MANNINGTON",
            "state": "WV",
            "postal_code": "265821131",
            "telephone_number": "304-986-1750",
            "fax_number": "304-986-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MARION MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-986-1750",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward Patrick Brennan II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mannington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.