NPIMap

Individual provider Active NPI

Bradley D Henry, M.D.

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1679573786
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17873 Issued in WV
Practice address
600 Morris St
Suite 102
Charleston, WV 25301-1409
Phone
(304) 388-7130
Fax
(304) 388-7136
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17873 WV Primary

Addresses

Primary practice location

600 Morris St
Suite 102
Charleston, WV 25301-1409

Mailing address

600 Morris St Ste 102
Charleston, WV 25301-1409
Phone (304) 388-7130

Other identifiers 1

IdentifierTypeStateIssuer
0077299-000MedicaidWV

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
I20110419001004 WV Practitioner - Internal Medicine 5193909851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-7823

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Charleston, WV, CCN 517115
  • Centerwell Home Health Home health agency, South Charleston, WV, CCN 517048
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17873WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Henry, Kinder & Associates, PLLC Internal Medicine CurrentSince Feb 1, 2002 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

600 Morris St
Ste 102
Charleston, WV 25301
Phone (304) 388-7130

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGAIAA/Endpoint/DGAIAA

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1679573786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MORRIS ST STE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011409",
            "telephone_number": "304-388-7130",
            "fax_number": "304-388-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MORRIS ST",
            "address_2": "SUITE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011409",
            "telephone_number": "304-388-7130",
            "fax_number": "304-388-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "17873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077299-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.