BRIAN POWDERLY (NPI# 1134196835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134196835 |
| Entity Type | Individual |
| Full Name | BRIAN POWDERLY |
| Credential | MD |
| Practice Address |
2675 36th St Parkersburg WV 26104-8024 |
| Mailing Address |
301 Saint Andrews Blvd Belpre OH 45714-9327 |
| Practice Telephone | 3044228112 |
| Practice Fax Number | 3044223924 |
| Mailing Telephone | 3044228112 |
| Mailing Fax Number | 3044223924 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35076176P | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 14380 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS BCBS | 000147520 | 01 | |
| WV | 0057420000 | 05 | |
| OH | 2125417 | 05 | |
| RR MEDICARE | 110019344 | 01 |
| Street Address |
2675 36TH ST |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26104-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134119555 | Worthington Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 2675 36th St, Parkersburg, WV 26104-8024 | 2005-10-26 |
| 1750822029 | Thirty Six Leasing Co., LLC | Skilled Nursing Facility | 2675 36th St, Parkersburg, WV 26104-8024 | 2017-03-20 |
| 1437578481 | Pwnr, LLC | Skilled Nursing Facility | 2675 36th St, Parkersburg, WV 26104-8024 | 2014-04-07 |
| 1891833570 | Brian Powderly Md | Nurse Practitioner | 2675 36th St, Parkersburg, WV 26104-8024 | 2007-02-02 |
| 1083681639 | Kathleen T Hasse | Nurse Practitioner | 2675 36th St, Parkersburg, WV 26104-8024 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736758 | Recover Together, Inc. | Internal Medicine | 4421 Emerson Ave, Parkersburg, WV 26104 | 2018-07-09 |
| 1588196596 | Michael R. Cox D.d.s. P.l.l.c. | Dentist | 3705 Emerson Ave., Parkersburg, WV 26104 | 2017-03-29 |
| 1629249578 | Samantha Foggin | Speech-Language Pathologist | 103 Rosemar Center, Parkersburg, WV 26104 | 2008-03-19 |
| 1891825204 | Denise Kirsch | Massage Therapist | 2911 Emerson Ave, Parkersburg, WV 26104 | 2007-03-06 |
| 1558497420 | Lori M Limb | Specialist | 4317 Emerson Ave., Parkersburg, WV 26104 | 2007-02-26 |
| 1225125149 | David Mallory Morford | Dentist | 3903 Emerson Ave, Parkersburg, WV 26104 | 2006-10-10 |
| 1427158484 | Joel David Shiffler | Family Medicine | 2003 Murdock, Ste A, Parkersburg, WV 26104 | 2006-09-22 |
| 1912001074 | L.e.h. Associates, Inc. | Hearing Aid Equipment | 1100 !/2 36th Street, Parkersburg, WV 26104 | 2006-09-11 |
| 1760445035 | Heather Ann Mccarter | Chiropractor | 4315 Emerson Avenue, Parkersburg, WV 26104 | 2006-04-08 |
| 1467438192 | Cathy Anne Dailey | Pediatrics | 3705 Emerson Ave, Parkersburg, WV 26104 | 2005-12-15 |
| Find all providers in zip 26104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142733 | Total Health and Recovery Clinic, LLC | Family Medicine | 1824 Murdoch Ave Bldg F Suite201, Parkersburg, WV 26101-3230 | 2020-04-05 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1366711277 | Sandra Sabo | Family Medicine | 111 Wedgewood Pl, Parkersburg, WV 26104-9226 | 2011-12-21 |
| 1639305857 | Family Medicine of Parkersburg Inc | Family Medicine | 2601 Dudley Ave Ste 5a, Parkersburg, WV 26101-2649 | 2009-06-02 |
| 1346409760 | Terry L. Thomas, Do, Pllc | Family Medicine | 2900 Emerson Ave, Parkersburg, WV 26104-2519 | 2008-06-02 |
| 1942495924 | Paul R. West, Do | Family Medicine | 2003 Murdoch Ave, Suite A, Parkersburg, WV 26101-2566 | 2007-09-12 |
| 1609901834 | Good Shepherd First | Family Medicine | 1230 Garfield Ave, Parkersburg, WV 26102 | 2007-02-21 |
| 1427158484 | Joel David Shiffler | Family Medicine | 2003 Murdock, Ste A, Parkersburg, WV 26104 | 2006-09-22 |
| 1760493043 | Brandon Matthew Wolfe | Family Medicine | 1900 Garfield Ave, Ste A, Parkersburg, WV 26101-2565 | 2006-08-11 |
| 1154368447 | Ellen Renee Brown | Family Medicine | 184 Holiday Hills Dr, Parkersburg, WV 26104-8006 | 2006-06-02 |
| Find all providers in PARKERSBURG | ||||
| City | PARKERSBURG |
| Zip Code | 26104 |
Please comment or provide details below to improve the information on BRIAN POWDERLY.
| 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.