Christopher Bradley Unger
Individual provider Active NPI Physical Therapist · Bruceton Mills, WV
NPI 1871978692 · NPPES record last updated Jul 22, 2015
Key facts
- NPI
- 1871978692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- AT001077 (WV)
- Practice address
- 37 Morgantown St
Bruceton Mills, WV 26525 - Phone
- (304) 379-7678
- Fax
- (304) 379-4937
- NPI assigned
- Jul 22, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150904000026 | WV | Practitioner - Physical Therapist in Private Practice | 0648586743 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001077 | WV | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AT001077 | WV | Yes |
Addresses
Primary practice location
37 Morgantown St
Bruceton Mills, WV 26525
Mailing address
150 Memorial Dr
Kingwood, WV 26537
Phone (304) 379-7678
Other providers in Bruceton Mills, WV
- Nora Swanson
- James Dwight Swiger II
- Mary Elizabeth Sypolt
- Shannon Tinnell
- Ryan Turner
- Margaret Uryasz
- Matthew Taylor Vero
- Randall Walls Jr.
- Samantha Walls
- Vanessa S Watring
All providers in Bruceton Mills, WV · Physical Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.