Max A Harned, MD FAAP PHD

Individual provider Active NPI Family Medicine Physician · Bruceton Mills, WV

NPI 1740350883 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1740350883
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
12679 (WV)
Practice address
One Memorial Drive
RT 26 North
Bruceton Mills, WV 26525-9500
Phone
(304) 379-2114
Fax
(304) 379-7929
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12679 WV Yes

Addresses

Primary practice location

One Memorial Drive
RT 26 North
Bruceton Mills, WV 26525-9500

Mailing address

One Memorial Drive
Harned Memorial Medical Clinic Inc
Bruceton Mills, WV 26525-9500
Phone (304) 379-2114

Other identifiers

IdentifierTypeStateIssuer
1066800OtherWORKERS COMPENSATION
111038OtherCARE LINK
171900OtherBLACK LUNG
0056848000MedicaidWV

Other providers in Bruceton Mills, WV

All providers in Bruceton Mills, WV · Family Medicine Physician in West Virginia

Sources for this page

Verify at the official NPI Registry.