Medbrook Medical Associates Inc
LBN: Medbrook Medical Associates Inc
Medbrook Medical Associates Inc is an health care organization with primary practice located at 1370 Johnson Avenue , Bridgeport WV 26330-1382. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Medbrook Medical Associates Inc can be contacted via phone (304) 842-7186, or through Bugin, Tim G via phone (304) 225-2500.
Contact Information
Primary practice address
1370 Johnson Avenue
Bridgeport WV 26330-1382
Phone: (304) 842-7186
Fax: (304) 842-9005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1013960632 |
|---|---|
| LBN Legal business name | Medbrook Medical Associates Inc |
| DBA Doing business as | |
| Authorized official | Bugin, Tim G |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Feb 14th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013960632 | NPPES |
| West Virginia | Other | 01265 | STATE LICENSE |
| West Virginia | Other | 51D0925226 | STATE LICENSE |
| West Virginia | Other | 0010647002 | STATE LICENSE |
| West Virginia | MEDICAID | 0010647000 | STATE LICENSE |
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