Brian Bard

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Kearneysville, WV

NPI 1629613286 · NPPES record last updated Nov 7, 2019

Key facts

NPI
1629613286
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
3094 Charles Town Road
Kearneysville, WV 25430
Phone
(304) 991-2070
NPI assigned
Nov 7, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Behavioral Health Current
since May 10, 2020
Accepting new patients

Locations

3094 Charles Town Rd
Kearneysville, WV 25430
Phone (304) 901-2070

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

3094 Charles Town Road
Kearneysville, WV 25430

Mailing address

3094 Charles Town Road
Kearneysville, WV 25430
Phone (304) 901-2070

Other providers in Kearneysville, WV

All providers in Kearneysville, WV · Addiction (Substance Use Disorder) Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.