Active NPI
William Brian Dennison, MD
- Rheumatology Physician
- Huntington, WV
National Provider Identifier
1770529745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 16419
- Practice address
- 5170 US RT 60 East
Huntington, WV 25705 - Phone
- (304) 528-4621
- Fax
- (304) 399-2392
- NPI assigned
- Jun 20, 2006
- Last updated
- Dec 9, 2010
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 16419 | WV | Primary |
Addresses
Primary practice location
5170 US RT 60 East
Huntington, WV 25705
Mailing address
5170 US RT 60 East
Huntington, WV 25705
Phone (304) 528-4621
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0823523 | Medicaid | OH | |
| 660000086 | Other | RAILROAD | |
| 64072648 | Medicaid | KY | |
| 0073590000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Himg, LLC | Rheumatology | Past | Accepting new patients |
Organizations & group practices 1
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": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1770529745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5170 US RT 60 EAST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25705",
"telephone_number": "304-528-4621",
"fax_number": "304-399-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 US RT 60 EAST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25705",
"telephone_number": "304-528-4621",
"fax_number": "304-399-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNISON",
"first_name": "WILLIAM",
"middle_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WV",
"license": "16419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0823523",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "660000086",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64072648",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0073590000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.