Brian Powderly Md

LBN: Brian Powderly Md
Brian Powderly Md is an health care organization with primary practice located at 2675 36Th St , Parkersburg WV 26104-8024. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Brian Powderly Md can be contacted via phone (304) 422-8112, or through Powderly, Brian via phone (304) 422-8112.

Contact Information

Primary practice address
2675 36Th St Parkersburg WV 26104-8024
Phone: (304) 422-8112
Fax: (304) 422-3924
Website:
Map and Directions
Authorized official contact:
Name: Powderly, Brian Doctor of Medicine (MD)
Phone: (304) 422-8112

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1891833570
LBN Legal business name Brian Powderly Md
DBA Doing business as
Authorized official Powderly, Brian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Nov 1st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891833570 NPPES
Ohio MEDICAID 2125417
Ohio MEDICAID 3810006475

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