Active NPI
Caleb Henry Cotner, DO
- Family Medicine Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4663
- Practice address
- 1511 Johnson Ave Ste 104
Bridgeport, WV 26330-1016 - Phone
- (681) 342-3700
- NPI assigned
- Apr 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4663 | WV | Primary |
Addresses
Primary practice location
1511 Johnson Ave Ste 104
Bridgeport, WV 26330-1016
Mailing address
201 S Rogers Rd.
Apt. S294
Hot Springs, AR 71913
Phone (479) 214-3809
Other practice location 1
527 Medical Park Dr
Bridgeport, WV 26330-9008
Phone (681) 342-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250729000250 | WV | Practitioner - Family Practice | 8729595467 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Physicians Care Inc
Practice addresses (Care Compare)
1511 Johnson Ave
Suite 104
Bridgeport, WV 26330-1016
Phone (681) 342-3700
Hospital & facility affiliations
- United Hospital Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physicians Care Inc | Family Medicine | Current | Accepting new patients |
| United Physicians Care Inc | Family Medicine | Current | Accepting new patients |
Locations
1511 Johnson Ave
Ste 104
Bridgeport, WV 26330
Phone (304) 848-0702
2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Shinnston, WV
- NPI 1184849200
Family Medicine, WV
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1487396206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S ROGERS RD.",
"address_2": "APT. S294",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71913",
"telephone_number": "479-214-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 JOHNSON AVE STE 104",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301016",
"telephone_number": "681-342-3700"
}
],
"practiceLocations": [
{
"address_1": "527 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "263309008",
"country_code": "US",
"telephone_number": "681-342-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTNER",
"first_name": "CALEB",
"middle_name": "HENRY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "4663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.