Active NPI
Gurpreet Singh Brar, MD
- Rheumatology Physician
- Parkersburg, WV
National Provider Identifier
1417913435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 11463
- Practice address
- 600 18TH St
Ste 302
Parkersburg, WV 26101 - Phone
- (304) 424-4249
- Fax
- (304) 424-4849
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 11463 | WV | Primary |
| Rheumatology Physician | 207RR0500X | 35-05-9311 | OH |
Addresses
Primary practice location
600 18TH St
Ste 302
Parkersburg, WV 26101
Mailing address
600 18TH St
Suite 610
Parkersburg, WV 26101-3231
Phone (304) 424-4249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082786000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11463 | WV | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1417913435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 18TH ST",
"address_2": "SUITE 610",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013231",
"telephone_number": "304-424-4249",
"fax_number": "304-424-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 18TH ST",
"address_2": "STE 302",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "26101",
"telephone_number": "304-424-4249",
"fax_number": "304-424-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAR",
"first_name": "GURPREET",
"middle_name": "SINGH",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WV",
"license": "11463",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "OH",
"license": "35-05-9311",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0082786000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.