Brandon Tyler Coburn, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4596 Issued in WV

Practice address

2939 Virginia Ave
Hurricane, WV 25526-1254

Phone

(304) 833-9217

NPI assigned

Oct 19, 2022

Last updated

Apr 1, 2025By the provider in NPPES

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

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Valley Health Systems Inc

  dba Valley Health- Huntington Dental

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1477216919

  Dentist

  Medicare reassignment NPD
• Valley Health Systems Inc

  dba Valley Health East Huntington Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1720333461

  Dentist

  Medicare reassignment NPD
• Valley Health Systems Inc

  dba Valley Health Highlawn

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1902962368
  Medicare reassignment NPD
• Valley Health Systems, Inc.

  dba Valley Health Milton

  • Federally Qualified Health Center (FQHC)
  • Milton, WV
  • NPI 1548542277

  Dentist

  Medicare reassignment NPD
• Valley Health Systems Inc

  • Clinical Medical Laboratory
  • Huntington, WV
  • NPI 1023083854
  NPD
• Valley Health Systems Inc

  dba Valley Health Fort Gay

  • Federally Qualified Health Center (FQHC)
  • Fort Gay, WV
  • NPI 1083694756

  Dentist

  NPD
• Valley Health Systems Inc

  dba Valley Health Hospital Services

  • Obstetrics & Gynecology Physician
  • Huntington, WV
  • NPI 1184699415
  NPD
• Valley Health Systems Inc

  dba Valley Health Hurricane

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1225154206
  NPD
• Valley Health Systems Inc

  dba Cabell Midland Health Center

  • Federally Qualified Health Center (FQHC)
  • Ona, WV
  • NPI 1417923236
  NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1508720913
  NPD
• G. Brian Eves, D.D.S.

  • General Practice Dentistry
  • Lavalette, WV
  • NPI 1023395332
  NPD (past)
• William Craig Bowen DDS, PLLC

  • General Practice Dentistry
  • Huntington, WV
  • NPI 1972933570
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1386360527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 VIRGINIA AVE",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255261254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 VIRGINIA AVE",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255261254",
            "telephone_number": "304-833-9217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 Norway Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257051319",
            "country_code": "US",
            "telephone_number": "304-697-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 C St",
            "address_purpose": "LOCATION",
            "city": "Ceredo",
            "state": "WV",
            "postal_code": "255071289",
            "country_code": "US",
            "telephone_number": "332-930-4453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBURN",
        "first_name": "BRANDON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce E Clay, MA
• Louise Cleek
• Tamara R Cline, LMT
• Megan L Cobb, PTA
• Rodney Ray Cobb
• Sophia Jordan Coche
• Martha Cochran
• Harold Lane Cohen, M.D.
• Joy Elizabeth Cole, MS, CCC-SLP
• Stephanie Renee Cole, LMT

• Dentist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.