Mountain State Medical Specialties, Pllc

LBN: Mountain State Medical Specialties, Pllc
Mountain State Medical Specialties, Pllc is an health care organization with primary practice located at 120 Medical Park Dr Suite 200, Bridgeport WV 26330-9012. The organization recently has 11 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Laboratories / Clinical Medical Laboratory, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Mountain State Medical Specialties, Pllc can be contacted via phone (304) 624-7200, or through Franz, Charles Bradley via phone (304) 624-7200.

Contact Information

Primary practice address
120 Medical Park Dr Suite 200 Bridgeport WV 26330-9012
Phone: (304) 624-7200
Fax: (304) 554-0413
Website:
Map and Directions
Authorized official contact:
Name: Franz, Charles Bradley Doctor of Medicine (MD)
Phone: (304) 624-7200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Laboratories / Clinical Medical Laboratory 291U00000X West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1891892097
LBN Legal business name Mountain State Medical Specialties, Pllc
DBA Doing business as
Authorized official Franz, Charles Bradley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 18th, 2019 - about 5 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 1891892097 NPPES
West Virginia MEDICAID 3810004579

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