Brandon Lee Phillips, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4001 Issued in WV

Practice address

1150 Health Sciences Center
Robert C. Byrd Health Sciences Center
Morgantown, WV 26506-9100

Phone

(304) 293-6208

NPI assigned

Jun 22, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1467715581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 ASHLEY OAKS",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053652",
            "telephone_number": "304-237-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HEALTH SCIENCES CENTER",
            "address_2": "ROBERT C. BYRD HEALTH SCIENCES CENTER",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069100",
            "telephone_number": "304-293-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Elizabeth Phelps, PH.D.
• Kelly D Phelps, MD
• Jessica Renee Phillips-Carte, LPN
• Alex Scott Phillips
• Bethany Christine Phillips
• Bridget Shahan Phillips, PA-C
• Emilie Phillips, FNP-C
• Erica Nicole Phillips
• Jacqueline Elizabeth Phillips
• James Hartley Phillips, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.