Organization Active NPI

Braxton Health Associates, Inc

  • Family Medicine Physician
  • Gassaway, WV
National Provider Identifier
1598849333
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRAXTON HEALTH ASSOCIATES, INC
Practice address
617 River St
Gassaway, WV 26624-1137
Phone
(304) 364-8941
Fax
(304) 364-8943
NPI assigned
Oct 25, 2006
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. William Douglas Given, MDNPI 1760479133
Title
President
Phone
(304) 364-8941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

617 River St
Gassaway, WV 26624-1137

Mailing address

617 River St
Gassaway, WV 26624-1137
Phone (304) 364-8941

Other identifiers 1

IdentifierTypeStateIssuer
0034606000MedicaidWV

National Provider Directory

National Provider Directory

Locations

617 River St
Gassaway, WV 26624
Phone (304) 364-2401

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1598849333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RIVER ST",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "266241137",
            "telephone_number": "304-364-8941",
            "fax_number": "304-364-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RIVER ST",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "266241137",
            "telephone_number": "304-364-8941",
            "fax_number": "304-364-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAXTON HEALTH ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "GIVEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-364-8941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034606000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gassaway, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.