E. Brad McCoy, D.O. PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1953 Issued in WV

Legal business name

E. BRAD MCCOY, D.O. PLLC

Practice address

3761 Teays Valley Rd
Hurricane, WV 25526-9705

Phone

(304) 760-8721

Fax

(304) 760-8722

NPI assigned

Sep 3, 2008

Last updated

Aug 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

E. Brad McCoy, D.O., PLLC

Title

Ceo

Phone

(304) 760-8721

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ricky L. Houdersheldt, MD

  • Internal Medicine Physician
  • Hurricane, WV
  • NPI 1457306300
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1487802567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761A TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269705",
            "telephone_number": "304-760-8721",
            "fax_number": "304-760-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269705",
            "telephone_number": "304-760-8721",
            "fax_number": "304-760-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. BRAD MCCOY, D.O. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "BRAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-760-8721",
        "authorized_official_credential": "D.O., PLLC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WV",
            "license": "1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth A Durham, M.A.
• Joyce Durham
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• Stephanie Easter
• Michael James Ebbert, R.PH.
• Ecp Clinics LLC
• Brook Makala Jane Edwards
• Christie Dawn Edwards

• Primary Care Clinic/Center in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.