Active NPI
Matthew Bradford Upton, MD
- Internal Medicine Physician
- Nitro, WV
National Provider Identifier
1972563401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18216
- Practice address
- 6A Bank St
Nitro, WV 25143-1708 - Phone
- (304) 306-3058
- Fax
- (304) 306-3059
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18216 | WV | Primary |
Addresses
Primary practice location
6A Bank St
Nitro, WV 25143-1708
Mailing address
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
Other practice location 1
333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6773
Other practice location 2
4605 MacCorkle Ave SW
THS Physician Partners, Inc. - Admin Ofc.
South Charleston, WV 25309-1311
Phone (304) 414-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herbert J. Thomas Memorial Hospital Association | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Thomas Memorial Hospital
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1972563401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091311",
"telephone_number": "304-414-4800",
"fax_number": "304-414-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6A BANK ST",
"city": "NITRO",
"state": "WV",
"postal_code": "251431708",
"telephone_number": "304-306-3058",
"fax_number": "304-306-3059"
}
],
"practiceLocations": [
{
"address_1": "333 Laidley St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011614",
"country_code": "US",
"telephone_number": "304-347-6773",
"fax_number": "304-347-6848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4605 MacCorkle Ave SW",
"address_2": "THS Physician Partners, Inc. - Admin Ofc.",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253091311",
"country_code": "US",
"telephone_number": "304-414-4800",
"fax_number": "304-414-4801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPTON",
"first_name": "MATTHEW",
"middle_name": "BRADFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "18216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nitro, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.