Individual provider Active NPI

Connor Blaine Venrick, MD

  • Orthopaedic Surgery Physician
  • Fort Bragg, NC
National Provider Identifier
1669932513
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD21363 Issued in HI
Practice address
2817 Rock Merritt Ave Stop a
Fort Bragg, NC 28310-1109
Phone
(303) 475-7759
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 36052 WV
Orthopaedic Surgery Physician 207X00000X MD21363 HI Primary

Addresses

Primary practice location

2817 Rock Merritt Ave Stop a
Fort Bragg, NC 28310-1109

Mailing address

2817 Rock Merritt Ave Stop a
Fort Bragg, NC 28310-0001

Other practice location 1

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3300

Other practice location 2

801 Gorman Ave
Elkins, WV 26241-3147
Phone (304) 637-3826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212003148 WV Practitioner - Orthopedic Surgery 1052891777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Memorial HospitalGroup PAC ID 3072418540, 77 clinicians

Practice addresses (Care Compare)

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3366

Hospital & facility affiliations

  • Davis Medical Center Hospital, Elkins, WV, CCN 510030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21363HIMDOrthopaedic Surgery Physician
36052WVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Davis Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients

Locations

801 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1669932513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE STOP A",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE STOP A",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283101109",
            "telephone_number": "303-475-7759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Gorman Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413181",
            "country_code": "US",
            "telephone_number": "304-636-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Gorman Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413147",
            "country_code": "US",
            "telephone_number": "304-637-3826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENRICK",
        "first_name": "CONNOR",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "36052",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD21363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.