Individual provider Active NPI

Brittany Nichole Speed, DO

  • Emergency Medicine Physician
  • Glen Dale, WV
National Provider Identifier
1912427576
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3440 Issued in WV
Practice address
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone
(304) 845-3211
NPI assigned
Jun 26, 2017
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2020-02589 NC
Emergency Medicine Physician 207P00000X 3440 WV Primary

Addresses

Primary practice location

800 Wheeling Ave
Glen Dale, WV 26038-1660

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Other practice location 1

628 E 12th St
Washington, NC 27889-3409
Phone (252) 975-4319

Other practice location 2

3 E Benjamin Dr
New Martinsville, WV 26155-2705
Phone (304) 455-8000

Other identifiers 1

IdentifierTypeStateIssuer
ED0692AMedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC, TX, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191028001349 WV Practitioner - Emergency MedicinePractitioner - General Practice 1658642640 Reassigns benefits to 1 organization
I20200806002436 NC Practitioner - Emergency Medicine 1658642640 Reassigns benefits to 2 organizations
I20211004002754 TX Practitioner - Emergency Medicine 1658642640 Reassigns benefits to 1 organization
I20220314002218 WA Practitioner - Emergency Medicine 1658642640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

4800 S Croatan Hwy
Outer Banks Hospital
Nags Head, NC 27959-9704
Phone (252) 449-5645

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-02589NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Wake Forest Emergency Providers CurrentSince Sep 7, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 26, 2020 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Sep 20, 2021 Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Mt. Rainier Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Sep 20, 2021 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

628 E 12th St
Washington, NC 27889
Phone (252) 975-4100

401 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1848

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

Interoperability endpoints

  • Direct secure messaging: bspeed145666@direct.wvuhsdirect.com
  • Direct secure messaging: bspeed2913863@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1912427576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381660",
            "telephone_number": "304-845-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "628 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NC",
            "postal_code": "278893409",
            "country_code": "US",
            "telephone_number": "252-975-4319",
            "fax_number": "252-948-4826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 E Benjamin Dr",
            "address_purpose": "LOCATION",
            "city": "New Martinsville",
            "state": "WV",
            "postal_code": "261552705",
            "country_code": "US",
            "telephone_number": "304-455-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEED",
        "first_name": "BRITTANY",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2020-02589",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ED0692A",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

Verify at the official NPI Registry.