Organization Active NPI

DRS. Henry, Kinder & Associates, PLLC

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1447335443
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DRS. HENRY, KINDER & ASSOCIATES, PLLC
Practice address
600 Morris St Ste 102
Charleston, WV 25301-1409
Phone
(304) 388-7130
Fax
(304) 388-7136
NPI assigned
Oct 26, 2006
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Dr. Bradley Henry, MDNPI 1679573786
Title
Member
Phone
(304) 388-7130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

600 Morris St Ste 102
Charleston, WV 25301-1409

Mailing address

600 Morris St Ste 102
Charleston, WV 25301-1409
Phone (304) 388-7130

Other identifiers 1

IdentifierTypeStateIssuer
3810006099MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405000742 WV Part B Supplier - Clinic/Group Practice 6204010960 Receives reassigned benefits from 2 practitioners
Practice locations: Charleston, WV

National Provider Directory

National Provider Directory

Locations

600 Morris St
Ste 102
Charleston, WV 25301
Phone (304) 388-7130

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1447335443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MORRIS ST STE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011409",
            "telephone_number": "304-388-7130",
            "fax_number": "304-388-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MORRIS ST STE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011409",
            "telephone_number": "304-388-7130",
            "fax_number": "304-388-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. HENRY, KINDER & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-388-7130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006099",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.