Individual provider Active NPI

Mark Scott, D.O.

  • Psychiatry Physician
  • Bridgeport, WV
National Provider Identifier
1992057277
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
3326 Issued in WV
Practice address
65 Professional PL Ste 102103
Bridgeport, WV 26330-0258
Phone
(304) 848-5770
Fax
(304) 848-0890
NPI assigned
Oct 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2012025740 MO
Psychiatry Physician 2084P0800X 3326 WV Primary

Addresses

Primary practice location

65 Professional PL Ste 102103
Bridgeport, WV 26330-0258

Mailing address

65 Professional PL Ste 102103
Bridgeport, WV 26330-0258
Phone (304) 848-5770

Other practice location 1

1105 E 32nd St
Joplin, MO 64804-2879
Phone (417) 347-7600

Other practice location 2

11 N Locust St
Buckhannon, WV 26201-4707
Phone (304) 472-1600

Other practice location 3

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 637-3948

Other identifiers 1

IdentifierTypeStateIssuer
1992057277MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200827003888 WV Practitioner - Psychiatry 5193040350 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012025740MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Community Health Center CurrentSince Aug 1, 2025 Accepting new patients
Valley Comprehensive Community Mental Health Center, Inc. CurrentSince May 19, 2025 Accepting new patients
Appalachian Community Health Center CurrentSince Aug 1, 2025 Accepting new patients
Valley Comprehensive Community Mental Health Center Past Accepting new patients
Appalachian Community Health Center PastSince Aug 1, 2025 Accepting new patients

Locations

27 S Kanawha St
Buckhannon, WV 26201
Phone (304) 472-2022

725 Yokum St
Elkins, WV 26241
Phone (304) 636-3232

501 N Pike St
Grafton, WV 26354
Phone (304) 265-3947

202 Tunnelton St
Kingwood, WV 26537
Phone (304) 329-1059

301 Scott Ave
Morgantown, WV 26508

100 Crosswind Dr
Pleasant Valley, WV 26554
Phone (304) 225-2280

10 Crosswind Dr
Pleasant Valley, WV 26554
Phone (304) 225-2280

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1992057277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 102103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300258",
            "telephone_number": "304-848-5770",
            "fax_number": "304-848-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 102103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300258",
            "telephone_number": "304-848-5770",
            "fax_number": "304-848-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648042879",
            "country_code": "US",
            "telephone_number": "417-347-7600",
            "fax_number": "417-347-9810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 N Locust St",
            "address_purpose": "LOCATION",
            "city": "Buckhannon",
            "state": "WV",
            "postal_code": "262014707",
            "country_code": "US",
            "telephone_number": "304-472-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 Gorman Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413181",
            "country_code": "US",
            "telephone_number": "304-637-3948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2012025740",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992057277",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.