NPIMap

Organization Active NPI

Morgantown Orthotic & Prosthetic Center, Inc

  • Prosthetic/Orthotic Supplier
  • Bridgeport, WV
National Provider Identifier
1457555286
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MORGANTOWN ORTHOTIC & PROSTHETIC CENTER, INC
Practice address
527 Medical Park Dr
Suite 110
Bridgeport, WV 26330-9008
Phone
(304) 933-3847
Fax
(304) 933-3849
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Mr. Mark Gorman, CPO
Title
Co-Director
Phone
(304) 598-0528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

527 Medical Park Dr
Suite 110
Bridgeport, WV 26330-9008

Mailing address

527 Medical Park Dr
Suite 110
Bridgeport, WV 26330-9008
Phone (304) 933-3847

Other names 1

  • Morgantown O&P, MOPC, Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1457555286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR",
            "address_2": "SUITE 110",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309008",
            "telephone_number": "304-933-3847",
            "fax_number": "304-933-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR",
            "address_2": "SUITE 110",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309008",
            "telephone_number": "304-933-3847",
            "fax_number": "304-933-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTOWN ORTHOTIC & PROSTHETIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "304-598-0528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morgantown O&P, MOPC,",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morgantown O&P, MOPC,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.