Active NPI
Bill D. Underwood, M.D., PH.D.
- Neurological Surgery Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 24728
- Practice address
- 227 Medical Park Dr Ste 103
Bridgeport, WV 26330-8421 - Phone
- (681) 342-3500
- Fax
- (681) 342-3561
- NPI assigned
- Jan 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301070369 | MI | |
| Neurological Surgery Physician | 207T00000X | 24728 | WV | Primary |
Addresses
Primary practice location
227 Medical Park Dr Ste 103
Bridgeport, WV 26330-8421
Mailing address
227 Medical Park Dr Ste 103
Bridgeport, WV 26330-8421
Phone (681) 342-3500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000012553 | Other | MI | CAPE HEALTH PLAN |
| 700F318300 | Other | MI | BLUE CROSS BLUE SHIELD |
| 104744530 | Medicaid | MI | |
| 0007382674 | Other | MI | AETNA HEALTH PLANS |
| I33602 | Other | MI | HEALTH ALLIANCE PLAN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bunderwood18429@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | bunderwood18429@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120221000824 | WV | Practitioner - Neurosurgery | 6608803762 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Wayne State University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
227 Medical Park Dr
Suite 103
Bridgeport, WV 26330-8421
Phone (681) 342-3500
Hospital & facility affiliations
- Wvuhs Home Care
- United Hospital Center, Inc
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 181 |
| Laminectomy or laminotomy (partial removal of spine bones) | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301070369 | MI | MD | Neurological Surgery Physician |
| 24728 | WV | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center | Current | Accepting new patients | |
| United Hospital Center | Past | Accepting new patients | |
| United Hospital Center, Inc | Past | Accepting new patients | |
| Wvu Medical Corporation | Neurological Surgery | Past | Accepting new patients |
Locations
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
227 Medical Park Dr
Ste 103
Bridgeport, WV 26330
Phone (681) 342-3561
2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301
Interoperability endpoints
- bunderwood18429@direct.wvuhsdirect.com
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Bridgeport, WV
- NPI 1184940132
-
- Rheumatology Physician
- Bridgeport, WV
- NPI 1780767772
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- Neurological Surgery Physician
- Bridgeport, WV
- NPI 1245625581
Neurological Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1790764850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 MEDICAL PARK DR STE 103",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263308421",
"telephone_number": "681-342-3500",
"fax_number": "681-342-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 MEDICAL PARK DR STE 103",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263308421",
"telephone_number": "681-342-3500",
"fax_number": "681-342-3561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "BILL",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301070369",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WV",
"license": "24728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH PLAN",
"identifier": "000000012553",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "700F318300",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104744530",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLANS",
"identifier": "0007382674",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "I33602",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bunderwood18429@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "227 Medical Park Dr",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263308420",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bunderwood18429@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "227 Medical Park Dr Ste 103",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263308421",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 5, 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.
- 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.