Gregory Clark Briscoe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2207 Issued in WV

Practice address

2018 Martins Branch Rd
Charleston, WV 25312-9457

Phone

(304) 984-0052

Fax

(304) 984-3140

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Philip a. Vicini DDS.

  • General Practice Dentistry
  • Charleston, WV
  • NPI 1447336870
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1962406876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13485",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253600485",
            "telephone_number": "304-984-0052",
            "fax_number": "304-984-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 MARTINS BRANCH RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253129457",
            "telephone_number": "304-984-0052",
            "fax_number": "304-984-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "GREGORY",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge Road Primary Care
• Catelyn Briggs
• Brenda Brightwell
• Shelley Dawn Brinkley
• Denise Briscoe, MA, LSW
• Nancy Briscoe
• Brianna Britton
• Luciana Antoinette Britton, BSN-RN, BSW
• Sheena Daniellee Britton
• Miesha K Brock

• General Practice Dentistry in Charleston, WV
• Providers in Charleston, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.