Daniel Brody, DDS
Individual provider Active NPI Dentist · Fort Gay, WV
NPI 1609856509 · NPPES record last updated May 28, 2024
Key facts
- NPI
- 1609856509
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2768 (WV)
- Practice address
- #71 Wayne Street
Fort Gay, WV 25514-8518 - Phone
- (304) 648-5433
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171115001393 | WV | Practitioner - Dentist | 2567780141 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems, Inc. | Dentist | Current |
Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Dentist | Current |
Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Dentist | Current |
Accepting new patients |
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Past | Accepting new patients |
Locations
71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544
1246 McClellan Hwy
Harts, WV 25524
Phone (304) 310-1246
22 Fleming Dr
Harts, WV 25524
Phone (304) 855-4595
85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310
2908 Auburn Rd
Huntington, WV 25704
Phone (304) 781-5800
1319 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 529-6060
2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396
220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407
42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136
Interoperability endpoints
- dbrody20016@valleyhealthsystems.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2768 | WV | Yes |
Addresses
Primary practice location
#71 Wayne Street
Fort Gay, WV 25514-8518
Mailing address
2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396
Other practice location 1
2908 Auburn Rd
Huntington, WV 25704-2715
Phone (304) 781-5800
Other practice location 2
85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60690237 | Medicaid | KY | |
| 0137071000 | Medicaid | WV | |
| 0068952 | Medicaid | OH |
Other providers in Fort Gay, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.