Active NPI
Michael W Mason, D.C.
- Chiropractor
- Bridgeport, WV
National Provider Identifier
1891732962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 777
- Practice address
- 529 E Main St
Bridgeport, WV 26330-1824 - Phone
- (304) 842-4202
- Fax
- (304) 842-6480
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 777 | WV | Primary |
Addresses
Primary practice location
529 E Main St
Bridgeport, WV 26330-1824
Mailing address
529 E Main St
Bridgeport, WV 26330-1824
Phone (304) 842-4202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001713618 | Other | WV | MTN. STATE BCBS RENDERING |
| PENDING | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
529 E Main St
Bridgeport, WV 26330-1824
Phone (304) 842-4202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 777 | WV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mike Mason Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Chiropractic Care Center PLLC | Chiropractor | Past | Accepting new patients |
Locations
109 Doctors Dr
#B
Bridgeport, WV 26330
Phone (304) 842-4202
529 E Main St
Bridgeport, WV 26330
Phone (304) 376-9792
Organizations & group practices 2
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.
-
- Chiropractor
- Bridgeport, WV
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1891732962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 E MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301824",
"telephone_number": "304-842-4202",
"fax_number": "304-842-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 E MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301824",
"telephone_number": "304-842-4202",
"fax_number": "304-842-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTN. STATE BCBS RENDERING",
"identifier": "001713618",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "WV"
}
],
"endpoints": [],
"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 Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.