NPIMap

Individual provider Active NPI

Brandon Scott Merritt, MD

  • Family Medicine Physician
  • Charleston, WV
National Provider Identifier
1659876142
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29758 Issued in WV
Practice address
4602 Maccorkle Ave SE
Charleston, WV 25304-1848
Phone
(304) 205-7525
NPI assigned
Mar 27, 2018
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29758 WV Primary

Addresses

Primary practice location

4602 Maccorkle Ave SE
Charleston, WV 25304-1848

Mailing address

4602 Maccorkle Ave SE
Charleston, WV 25304-1848
Phone (304) 205-7535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719002926 WV Practitioner - Family Practice 3971852914 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabin Creek Health Center IncGroup PAC ID 2466431101, 41 clinicians

Practice addresses (Care Compare)

4602 Maccorkle Ave SE
Charleston, WV 25304-1848
Phone (304) 205-7535

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29758WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. Family Medicine CurrentSince Jan 6, 2022 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Valley Health Systems Inc Family Medicine CurrentSince Oct 17, 2022 Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Valley Health Systems, Inc. Family Medicine CurrentSince Oct 13, 2021 Accepting new patients
Valley Health Systems, Inc. Family Medicine CurrentSince Jan 6, 2022 Accepting new patients
Valley Health Systems Inc CurrentSince Jan 6, 2022 Accepting new patients
Valley Health Systems Inc Family Medicine CurrentSince Oct 17, 2022 Accepting new patients
Valley Health Systems Inc Family Medicine Current Accepting new patients
Cabin Creek Health Center, Inc. Past Accepting new patients

Locations

6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350

1 Warrior Way
Ste 103
Belle, WV 25015
Phone (304) 949-3591

104 Alex Ln
Charleston, WV 25304
Phone 30473420401319

4407 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 925-0392

4602 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 205-7535

6135 Sissonville Dr
Charleston, WV 25312
Phone (304) 984-1576

864 Oakwood Rd
Charleston, WV 25314
Phone (304) 343-2807

107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

1301 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 525-0572

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

540 10th St
Huntington, WV 25701
Phone (304) 399-3366

723 9th Ave
Huntington, WV 25701
Phone (304) 529-0645

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

3729 Teays Valley Rd
Ste 100
Hurricane, WV 25526
Phone (304) 760-6040

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

11315 US Route 60
Ona, WV 25545
Phone (304) 743-7495

100 Pioneer Rd
Wayne, WV 25570
Phone (304) 272-3783

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: brandon.merritt.1@7267.direct.athenahealth.com

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1659876142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041848",
            "telephone_number": "304-205-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041848",
            "telephone_number": "304-205-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "29758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.