Jeffery T Braham, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1492 Issued in WV

Practice address

800 Grand Central Mall
Suite 4
Vienna, WV 26105-4131

Phone

(304) 485-3300

Fax

(304) 485-3317

NPI assigned

May 24, 2005

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 6

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Physicians Care IncGroup PAC ID 6103814017, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322
• Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbraham108839@direct.wvuhsdirect.com

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.

• United Physicians Care Inc

  • Family Medicine Physician
  • Shinnston, WV
  • NPI 1184849200
  Medicare reassignment Care Compare group NPD
• West Virginia School of Osteopathic Medicine Clinic Inc D/B/a Robert C. Byrd Clinic

  dba Robert C Byrd Clinic

  • Family Medicine Physician
  • Lewisburg, WV
  • NPI 1871539296
  Medicare reassignment NPD
• United Physicians Care Inc

  dba Pinewood Medical Center

  • Family Medicine Physician
  • Grafton, WV
  • NPI 1891863874
  NPD
• Camden Clark Memorial Hospital Corporation

  dba Camden Clark Medical Center

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1699704254
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  dba Summersville Regional Medical Center

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  dba SRMC Medical Group

  • Hospitalist Physician
  • Summersville, WV
  • NPI 1417415324
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1790788545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 4",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054131",
            "telephone_number": "304-485-3300",
            "fax_number": "304-485-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 4",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054131",
            "telephone_number": "304-485-3300",
            "fax_number": "304-485-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHAM",
        "first_name": "JEFFERY",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.008763",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbraham108839@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "800 Grand Central Mall Ste 4",
            "city": "Vienna",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261054100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbraham108839@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "800 Grand Central Mall Ste 4",
            "city": "Vienna",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261054100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbraham108839@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Grand Central Mall Ste 4",
            "city": "Vienna",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261054100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbraham108839@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Grand Central Mall",
            "city": "Vienna",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261054100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbraham108839@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Grand Central Mall Ste 4",
            "city": "Vienna",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261054100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbraham108839@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Grand Central Mall Ste 4",
            "city": "Vienna",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261054100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Curtiss Brooks, DPT

• Family Medicine Physician in Vienna, WV
• Providers in Vienna, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.