Active NPI
Brandi Daneen Frazier, PTA
- Specialist
- Hurricane, WV
National Provider Identifier
1649399882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- WV000725
- Practice address
- 590 Poplar Fork Rd
Hurricane, WV 25526-9434 - Phone
- (304) 757-7826
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | WV000725 | WV | Primary |
Addresses
Primary practice location
590 Poplar Fork Rd
Hurricane, WV 25526-9434
Mailing address
928 Evergreen Rd
Fraziers Bottom, WV 25082-9715
Phone (304) 937-2694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV000725 | WV | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649399882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 EVERGREEN RD",
"city": "FRAZIERS BOTTOM",
"state": "WV",
"postal_code": "250829715",
"telephone_number": "304-937-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 POPLAR FORK RD",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269434",
"telephone_number": "304-757-7826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "BRANDI",
"middle_name": "DANEEN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "WV000725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.