Active NPI
Gregory A Crickard, D.C.
- Chiropractor
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1079
- Practice address
- 529 E Main St
Bridgeport, WV 26330-1824 - Phone
- (304) 842-4202
- NPI assigned
- Aug 9, 2022
- Last updated
- Aug 9, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1079 | WV | Primary |
Addresses
Primary practice location
529 E Main St
Bridgeport, WV 26330-1824
Mailing address
224 W Olive St
Bridgeport, WV 26330-1127
Phone (304) 476-2766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
529 E Main St
Bridgeport, WV 26330-1824
Phone (304) 842-4202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1079 | WV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monongahela Valley Association of Health Centers, Inc. | Current | Accepting new patients | |
| Mike Mason Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Monongahela Valley Association of Health Centers, Inc. | Current | Accepting new patients | |
| Monongahela Valley Association of Health Centers, Inc | Current | Accepting new patients |
Locations
529 E Main St
Bridgeport, WV 26330
Phone (304) 842-4202
1322 Locust Ave
Fairmont, WV 26554
Phone (304) 366-0700
118 Market St
Mannington, WV 26582
Phone (304) 986-1750
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71457
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Bridgeport, WV
- NPI 1255388971
-
dba MVA Fairmont Clinic
- Federally Qualified Health Center (FQHC)
- Fairmont, WV
- NPI 1770697278
-
dba MVA Health Center - Mannington
- Federally Qualified Health Center (FQHC)
- Mannington, WV
- NPI 1083162796
-
dba MVA Fairmont Clinic Pharmacy
- Clinic Pharmacy
- Fairmont, WV
- NPI 1609979673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1770211716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 W OLIVE ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301127",
"telephone_number": "304-476-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 E MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301824",
"telephone_number": "304-842-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRICKARD",
"first_name": "GREGORY",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "1079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
- Christopher Don Courtney, DO
- James Thomas Courtney, DDS
- Suzanne Whitney Courtney, MD
- Mindy Sue Cox
- Crestview Terrace Leasing Co., LLC (Bridgeport Healthcare Center of WV)
- Naomi Crickenberger, LICSW
- Annette K Crislip, M.A., L.P.C.
- Lisa Critchfield, OTR/L
- Daisy Lynn Culverhouse-Perry, AGACNP
- Janet Cumberledge
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.