Bradley S Persinger (NPI# 1073625539, PAC ID# 4486651577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1073625539 |
| PAC ID by PECOS | 4486651577 |
| Professional Enrollment ID | I20061102000448 |
| Full Name | Bradley S Persinger |
| Organization Legal Name | BRAXTON COUNTY MEMORIAL HOSPITAL |
| Address |
100 Hoylman Dr Gassaway WV 26624-9318 |
| Phone Number | 3043645156 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5193717759 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511308 | BRAXTON COUNTY MEMORIAL HOSPITAL |
| 510002 | GREENBRIER VALLEY MEDICAL CENTER |
| 490126 | LEWISGALE HOSPITAL ALLEGHANY |
| Address | Phone | Organization |
|---|---|---|
| 100 Hoylman Dr, Gassaway, WV 26624-9318 | 3043645156 | BRAXTON COUNTY MEMORIAL HOSPITAL |
| 1 Arh Ln, Low Moor, VA 24457 | 5403452593 | ALLEGHANY ANESTHESIA ASSOCIATES |
| 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 3046474411 | GREENBRIER VALLEY ANESTHESIA LLC |
| Organization Legal Name | BRAXTON COUNTY MEMORIAL HOSPITAL |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy D Leveaux | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Stephanie Lea Frame | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Micah Robert Moore | General Practice | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Brent G Glover | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| William Douglas Given | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Mark H Waddell | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Street Address |
100 HOYLMAN DR |
| City | GASSAWAY |
| State | WV |
| Zip | 26624-9318 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Lynn Williams | Nurse Practitioner | Greenbrier Emergency Services, Inc. | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Guy D Leveaux | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Stephanie Lea Frame | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Micah Robert Moore | General Practice | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Rickey L Bradley | Family Medicine | Greenbrier Emergency Services, Inc. | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Brent G Glover | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| William Douglas Given | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Mark H Waddell | Family Medicine | Braxton County Memorial Hospital | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Tomasik | Optometry | 707 Elk St, Gassaway, WV 26624-1113 | |
| William Lohr Jr. | Chiropractic | 615 Elk St, Gassaway, WV 26624-1135 | |
| Tracy L Garavaglia | Physical Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 155 Reston Pl, Gassaway, WV 26624-9356 |
| Kevin C Boring | Physical Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 155 Reston Pl, Gassaway, WV 26624-9356 |
| Alana K Gillenwater | Physical Therapy | Greenbrier Valley Physical Therapy and Fitness LLC | 155 Reston Pl, Gassaway, WV 26624-9356 |
| City | GASSAWAY |
| Zip Code | 26624 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GASSAWAY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Bradley S Persinger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.