Active NPI
Eventus Premier Healthcare - West Virginia LLC
- Internal Medicine Physician
- Charleston, WV
National Provider Identifier
1497576417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EVENTUS PREMIER HEALTHCARE - WEST VIRGINIA LLC
- Practice address
- 128 Capitol St
Charleston, WV 25301-2610 - Phone
- (844) 932-5700
- NPI assigned
- Oct 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Goad, DO
- Title
- Owner
- Phone
- (844) 932-5700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
128 Capitol St
Charleston, WV 25301-2610
Mailing address
PO Box 1431
Dept 430
Charlotte, NC 28201-1431
Phone (844) 932-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Princeton, WV
- NPI 1104868231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1497576417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1431",
"address_2": "DEPT 430",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282011431",
"telephone_number": "844-932-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 CAPITOL ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012610",
"telephone_number": "844-932-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVENTUS PREMIER HEALTHCARE - WEST VIRGINIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-22",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "GOAD",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "844-932-5700",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.