Active NPI
Ashley M Bainbridge, DO
- Family Medicine Physician
- Morgantown, WV
National Provider Identifier
1750602017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2543
- Practice address
- 6000 Memorial Church Dr Ste a
Morgantown, WV 26501-1503 - Phone
- (304) 598-7313
- Fax
- (304) 598-7319
- NPI assigned
- Jun 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2543 | WV | Primary |
Addresses
Primary practice location
6000 Memorial Church Dr Ste a
Morgantown, WV 26501-1503
Mailing address
6000 Memorial Church Dr Ste a
Morgantown, WV 26501-1503
Phone (304) 598-7313
Other practice location 1
1929 Mason Dixon Hwy
Maidsville, WV 26541-8152
Phone (304) 879-5020
Other practice location 2
1 Huntington Way Ste 100
Fairmont, WV 26554-8819
Phone (304) 368-2422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2543 | WV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1750602017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 MEMORIAL CHURCH DR STE A",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265011503",
"telephone_number": "304-598-7313",
"fax_number": "304-598-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 MEMORIAL CHURCH DR STE A",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265011503",
"telephone_number": "304-598-7313",
"fax_number": "304-598-7319"
}
],
"practiceLocations": [
{
"address_1": "1929 Mason Dixon Hwy",
"address_purpose": "LOCATION",
"city": "Maidsville",
"state": "WV",
"postal_code": "265418152",
"country_code": "US",
"telephone_number": "304-879-5020",
"fax_number": "304-879-4105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Huntington Way Ste 100",
"address_purpose": "LOCATION",
"city": "Fairmont",
"state": "WV",
"postal_code": "265548819",
"country_code": "US",
"telephone_number": "304-368-2422",
"fax_number": "304-368-2426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAINBRIDGE",
"first_name": "ASHLEY",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "2543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.