Individual provider Active NPI

Gregory A Crickard, D.C.

  • Chiropractor
  • Bridgeport, WV
National Provider Identifier
1770211716
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1079 Issued in WV
Practice address
529 E Main St
Bridgeport, WV 26330-1824
Phone
(304) 842-4202
NPI assigned
Aug 9, 2022
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220915003367 WV Practitioner - Chiropractic 6709261480 Reassigns benefits to 2 organizations

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
Mike Mason Chiropractic PLLCGroup PAC ID 7517978760, 5 clinicians

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

LicenseStateTypeSpecialty
1079WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Monongahela Valley Association of Health Centers, Inc. CurrentSince Nov 7, 2025 Accepting new patients
Mike Mason Chiropractic PLLC Chiropractor CurrentSince Aug 4, 2022 Accepting new patients
Monongahela Valley Association of Health Centers, Inc. CurrentSince Nov 7, 2025 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

  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.