Individual provider Active NPI

Brian Wayne Macaulay, MD

  • Family Medicine Physician
  • Charleston, WV
National Provider Identifier
1750382297
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14811 Issued in WV
Practice address
116 Hills PLZ
Charleston, WV 25387-2438
Phone
(304) 720-4466
Fax
(304) 720-4815
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 14811 WV Primary

Addresses

Primary practice location

116 Hills PLZ
Charleston, WV 25387-2438

Mailing address

1602 Harper Rd
Beckley, WV 25801-3310
Phone (304) 757-6999

Other identifiers 5

IdentifierTypeStateIssuer
14811OtherHEALTH PLAN OF UPPER OH V
55035705700OtherWVWV COMPENSATION
0052239000MedicaidWV
001718160OtherMOUNTAIN STATE BCBS
2043621MedicaidOH

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
I20041217000569 WV Practitioner - Family Practice 4385601632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beckley-Raleigh County Board of HealthGroup PAC ID 7214940154, 2 clinicians

Practice addresses (Care Compare)

1602 Harper Rd
Beckley, WV 25801-3310
Phone (304) 252-8531

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare, Inc CurrentSince Jul 2, 2012 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Beckley-Raleigh County Board of Health CurrentSince Jul 18, 2018 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients

Locations

1602 Harper Rd
Beckley, WV 25801
Phone (304) 252-8531

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

100 Florida St
Charleston, WV 25302
Phone (304) 348-6613

301 Washington Ave
Dunbar, WV 25064
Phone (304) 766-3323

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

515 Main St
Madison, WV 25130
Phone (304) 369-0393

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1750382297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013310",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HILLS PLZ",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872438",
            "telephone_number": "304-720-4466",
            "fax_number": "304-720-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULAY",
        "first_name": "BRIAN",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "14811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF UPPER OH V",
            "identifier": "14811",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV COMPENSATION",
            "identifier": "55035705700",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052239000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001718160",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043621",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.