NICOLE BETH BRYAN (NPI# 1104115807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104115807 |
| Entity Type | Individual |
| Full Name | NICOLE BETH BRYAN |
| Credential | MD |
| Practice Address |
1 Medical Center Dr Morgantown WV 26506-1200 |
| Practice Telephone | 3045984800 |
| Mailing Telephone | 3045984800 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
25215 | WV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Stadium Dr, Morgantown, WV 265067911 | 3045984850 | 3045984871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659799005 | Nicole Bryan | Licensed Practical Nurse | 55 Glenmalure St, Amityville, NY 11701-1435 | 2014-04-02 |
| 1740329754 | Nicole Bryan | Otolaryngology | 1790 King Arthur Blvd, Suite 120, Carrollton, TX 75010 | 2007-02-06 |
| 1184152605 | Nicole Bryan | Counselor | 1495 Chain Bridge Rd Ste 300, Mc Lean, VA 22101-5727 | 2017-05-29 |
| 1093256240 | Nicole Rae Bryan | Nurse Anesthetist, Certified Registered | 2401 South 31st Street, Baylorscott and White Healthcare, Temple, TX 76504-9914 | 2017-03-20 |
| 1043614449 | Nicole Bryan | Physician Assistant | 3355 Bainbridge Ave, Bronx, NY 10467-2801 | 2014-10-14 |
| Street Address |
1 MEDICAL CENTER DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072062 | Marissa D Davis | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-27 |
| 1649879313 | Emily Keator Stallings | Advanced Practice Midwife | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-22 |
| 1003414400 | Eric Allen | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-16 |
| 1134726334 | Anna Elizabeth Warfiled | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-01 |
| 1023625357 | Diane Lynn Casdorph | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-30 |
| 1578179081 | Samantha Renee Wise | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-20 |
| 1740893056 | Catherine Kelly | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-26 |
| 1821600743 | Emily Rossignol | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1265044010 | Melissa J Rinehart | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1700497054 | Chelsea J Thomas | Speech-Language Pathologist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184917759 | Allison Marie Lastinger | Internal Medicine | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2011-05-16 |
| 1528269651 | Nasira Roidad | Internal Medicine | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2007-05-29 |
| 1679687172 | Arif R Sarwari | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-19 |
| 1386757730 | Rashida A Khakoo | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-17 |
| 1578676227 | Melanie A Fisher | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-16 |
| 1508979642 | Robert M D'alessandri | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491792 | Mountainstate Infectious Disease, Pllc | Internal Medicine | 215 W Main St Ste B, Bridgeport, WV 26330-1888 | 2019-01-16 |
| 1669716833 | Wanetta Susie Matulis | Internal Medicine | 68 Quarry Rdg, Charleston, WV 25304-1051 | 2012-11-12 |
| 1174778583 | Badiaa El-imad | Internal Medicine | 527 Medical Park Dr Ste 204, Bridgeport, WV 26330-9009 | 2008-11-26 |
| 1942398235 | Fred T Kerns | Internal Medicine | 3100 Maccorkle Ave Se Ste 604, Charleston, WV 25304-1231 | 2006-10-11 |
| 1528178076 | Modi Medical Corporation | Internal Medicine | 4605 Maccorkle Ave Sw Ste 302, South Charleston, WV 25309-1311 | 2006-08-30 |
| 1639124159 | Dino James Delaportas | Internal Medicine | 11 Point of Vw, Bridgeport, WV 26330 | 2006-05-23 |
| 1407824345 | Dragana Orlovic | Internal Medicine | 500 Poplar St Ste 201, South Charleston, WV 25309-1472 | 2006-03-08 |
| 1609842640 | Seyoum Daffo Bage | Internal Medicine | 800 Grand Central Mall Ste 10, Vienna, WV 26105-4100 | 2006-02-28 |
| 1154393148 | Robert Wesley Farr | Internal Medicine | 3100 Maccorkle Ave Se Ste 902, Charleston, WV 25304-1234 | 2006-02-03 |
| 1427516129 | Parkersburg Infectious Disease Pllc | Internal Medicine | 800 Grand Central Mall Ste 10, Vienna, WV 26105-4100 | 2019-03-12 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on NICOLE BETH BRYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.