NPIMap

Individual provider Active NPI

Brandon Chase Neeley, MD

  • Neurology Physician
  • South Charleston, WV
National Provider Identifier
1871054569
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35488 Issued in WV
Practice address
4607 Maccorkle Ave SW Ste 400
South Charleston, WV 25309-1364
Phone
(304) 767-7900
Fax
(304) 414-7437
NPI assigned
Mar 26, 2019
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35488 WV Primary
Epilepsy Physician 2084E0001X 67945 TN

Addresses

Primary practice location

4607 Maccorkle Ave SW Ste 400
South Charleston, WV 25309-1364

Mailing address

4607 Maccorkle Ave SW Ste 400
South Charleston, WV 25309-1364
Phone (304) 767-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804000008 WV Practitioner - Neurology 1254791114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
West Virginia University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4607 Maccorkle Ave SW
Suite 400
South Charleston, WV 25309-1364
Phone (304) 767-7900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35488WVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association CurrentSince Dec 1, 2025 Accepting new patients
Community Health Association CurrentSince Dec 1, 2025 Accepting new patients
THS Physician Partners Inc Neurology CurrentSince Jul 16, 2025 Accepting new patients
Community Health Association Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

186 Pinnell St
Ripley, WV 25271
Phone (304) 373-1546

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4607 Maccorkle Ave SW
Ste 400
South Charleston, WV 25309
Phone (304) 766-4400

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1871054569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-767-7900",
            "fax_number": "304-414-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-767-7900",
            "fax_number": "304-414-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELEY",
        "first_name": "BRANDON",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "35488",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "TN",
            "license": "67945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.