NPIMap

Individual provider Active NPI

Brian R Whyte, M.D.,

  • Surgery Physician
  • Beckley, WV
National Provider Identifier
1407965668
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
22852 Issued in WV
Practice address
122 George St
Beckley, WV 25801-2608
Phone
(304) 250-0382
Fax
(304) 250-0383
NPI assigned
Aug 30, 2006
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22852 WV Primary
Vascular Surgery Physician 2086S0129X 22852 WV

Addresses

Primary practice location

122 George St
Beckley, WV 25801-2608

Mailing address

122 George St
Beckley, WV 25801-2608
Phone (304) 250-0382

Other identifiers 1

IdentifierTypeStateIssuer
3810009721MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000545 WV Practitioner - Vascular SurgeryPractitioner - General Surgery 1153398722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 George St
Beckley, WV 25801-2607
Phone (304) 250-0382

122 George St
Beckley, WV 25801-2608
Phone (304) 250-0382

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
12.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
42.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal22
Leg revascularization (restoring blood flow)35
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19893ALMDPharmacist
22852WVMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beckley Vascular Associates PLLC Vascular Surgery CurrentSince Dec 1, 2007 Accepting new patients
Mountain State Vascular, Inc. Vascular Surgery CurrentSince Apr 4, 2018 Accepting new patients
Montgomery Surgical Associates Past Accepting new patients
CM Oneal MD Inc Surgery PastSince Dec 1, 2007 Accepting new patients
West Virginia Surgical Institute Surgery Past Accepting new patients
West Virginia Vascular Institute PLLC Vascular Surgery Past Accepting new patients

Locations

122 George St
Beckley, WV 25801
Phone (304) 250-0382

121 George St
Beckley, WV 25801
Phone (304) 250-0382

120 George St
Beckley, WV 25801
Phone (304) 250-0382

Interoperability endpoints

  • Direct secure messaging: brian.whyte@wvafn.hcadirect.net
  • Direct secure messaging: whyteb@yourcarecommunity.org

Organizations & group practices 6

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1407965668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012608",
            "telephone_number": "304-250-0382",
            "fax_number": "304-250-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012608",
            "telephone_number": "304-250-0382",
            "fax_number": "304-250-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "22852",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WV",
            "license": "22852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009721",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.