DR. BRANDON MICHAEL WORKMAN (NPI# 1891012233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891012233 |
| Entity Type | Individual |
| Full Name | DR. BRANDON MICHAEL WORKMAN |
| Credential | D.O. |
| Practice Address |
28 Mallard Ct Beckley WV 25801-3664 |
| Practice Telephone | 3048948526 |
| Practice Fax Number | 3042520022 |
| Mailing Telephone | 3042528409 |
| Mailing Fax Number | 3042520022 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2014-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
2738 | WV | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2738 | WV | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
2738 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810028085 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598218026 | Brandon David Workman | Physician Assistant | 7400 Docs Grove Cir, Orlando, FL 32819-8010 | 2016-08-02 |
| Street Address |
28 MALLARD CT |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023094729 | Debra Russell Mooney | Psychiatry & Neurology | 28 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-15 |
| 1447792718 | Amy Elizabeth Simmons | Social Worker | 28 Mallard Ct, Beckley, WV 25801 | 2016-11-17 |
| 1588115836 | Beverly Lynn Lafferty | Nurse Practitioner | 28 Mallard Ct, Beckley, WV 25801-3664 | 2016-10-21 |
| 1942653829 | Community Health Systems Inc. | Social Worker | 28 Mallard Ct, Beckley, WV 25801-3664 | 2016-07-15 |
| 1619219839 | Robert Hayes | Psychologist | 28 Mallard Ct, Beckley, WV 25801-3664 | 2013-03-26 |
| 1871875856 | John P. Bowyer | Psychologist | 28 Mallard Ct, Beckley, WV 25801-3664 | 2011-09-15 |
| 1326320391 | Heather Renee Booth | Social Worker | 28 Mallard Ct, Beckley, WV 25801-3664 | 2011-09-15 |
| 1689632382 | Robbin Marie Durham | Social Worker | 28 Mallard Ct, Beckley, WV 25801-3664 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730360918 | Charleston Neurology Assc Inc | Psychiatry & Neurology | 5303 Maccorkle Ave Se Ste A, Charleston, WV 25304-2221 | 2007-11-16 |
| 1629174404 | Raymond Shapiro | Psychiatry & Neurology | 142 N Queen St, Suite 103, Martinsburg, WV 25401-3312 | 2006-09-16 |
| 1730108259 | Ralph Silas Smith Jr. | Psychiatry & Neurology | 1219 Ohio Ave, Dunbar, WV 25064-3019 | 2006-07-18 |
| 1902875743 | Richard Olutoyin Ajayi | Psychiatry & Neurology | 310 American Way Ste A, Weirton, WV 26062-4083 | 2006-03-15 |
| 1881733384 | Jafar Taki Almashat | Psychiatry & Neurology | 235 S Water St, Martinsburg, WV 25401-4241 | 2007-02-05 |
| 1396705307 | Abdel-fatah Massoud | Psychiatry & Neurology | 1 Medical Center Drive, Fairmont, WV 26301 | 2006-03-24 |
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| 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.