Brandon Wade Dotson
Individual provider Active NPI Personal Care Attendant · Edgarton, WV
NPI 1497496145 · NPPES record last updated Apr 6, 2022
Key facts
- NPI
- 1497496145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1741 Thacker Holw
Edgarton, WV 25672-7014 - Phone
- (304) 426-5444
- NPI assigned
- Apr 6, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1741 Thacker Holw
Edgarton, WV 25672-7014
Mailing address
1741 Thacker Holw
Edgarton, WV 25672-7014
Other providers in Edgarton, WV
- Autumn Elaine Asbury
- Tammy Kay Bryant
- Jeanie Anita Casey
- Summer Marie Cochran
- Daniel Wade Hensley
- Terrie Nichole Lell
- Ronald David Runyon
All providers in Edgarton, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.