Active NPI
Braxton Health Associates, Inc
- Family Medicine Physician
- Gassaway, WV
National Provider Identifier
1598849333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2008
- 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
- Dr. William Douglas Given, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0034606000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Gassaway, WV
- NPI 1760479133
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
- Braxton County Memorial Hospital
- Braxton County Memorial Hospital (Braxton Community Health Center)
- Braxton County Memorial Hospital
- Braxton County Memorial Hospital
- Braxton County Memorial Hospital
- Braxton VA Clinic
- Mary Lynn Buckhannon, LICENCED PRACTICAL N
- Janet Butler
- Julie Ann Calef, MS, CCC/SLP
- Richard Eric Campbell, PHARMD
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.