Bradley Willis (NPI# 1578777389, PAC ID# 8224181573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578777389 |
| PAC ID by PECOS | 8224181573 |
| Professional Enrollment ID | I20090804000197 |
| Full Name | Bradley Willis |
| Organization Legal Name | WEST VIRGINIA HEALTH CARE COOPERATIVE INC |
| Address |
400 Fairview Heights Rd Summersville WV 26651-9308 |
| Phone Number | 3048728402 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9830431030 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511322 |
| Address | Phone | Organization |
|---|---|---|
| 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 3048728402 | WEST VIRGINIA HEALTH CARE COOPERATIVE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | WEST VIRGINIA HEALTH CARE COOPERATIVE INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David F Meriwether | Urology | West Virginia Health Care Cooperative Inc | 702 Professional Park Dr, Suite 106, Summersville, WV 26651-2033 |
| Bandy B Mullins | General Surgery | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Thomas J Reynolds | Certified Registered Nurse Anesthetist (crna) | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Judy M Spencer | Physician Assistant | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Amy C Mann | Nurse Practitioner | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Joanna F Fletcher | Certified Registered Nurse Anesthetist (crna) | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Jeffrey Mark Rodebaugh | Family Medicine | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Shanis A Padgett | Anesthesiology | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Michael Eugene Taylor | Family Medicine | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Kara Lynn Gillespie | Physician Assistant | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Street Address |
400 FAIRVIEW HEIGHTS RD |
| City | SUMMERSVILLE |
| State | WV |
| Zip | 26651-9308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bandy B Mullins | General Surgery | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Mark C Geary Ii | Emergency Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Andrew Brett Cook | Emergency Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Thomas J Reynolds | Certified Registered Nurse Anesthetist (crna) | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Thomas B Duff | Family Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Judy M Spencer | Physician Assistant | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Amy C Mann | Nurse Practitioner | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Whitney A Boggs | Family Medicine | New River Health Association Inc | 400 Fairview Heights Rd, Suite 201, Summersville, WV 26651-9308 |
| Joanna F Fletcher | Certified Registered Nurse Anesthetist (crna) | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Jeffrey Mark Rodebaugh | Family Medicine | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara M Holdren | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Tonya Rachel Young | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Kathy Hamon | Family Medicine | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Crystal R Taylor | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Elizabeth A Coffman | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Sara Sanson | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Eddie Prendergast Jr. | Optometry | 651 Water St, Summersville, WV 26651-1454 | |
| Thomas Goodwin | Chiropractic | 1018 Broad St, Summersville, WV 26651-1711 | |
| Christa M Degidio | Physical Medicine and Rehabilitation | Mountaineer Physical Therapy and Sports Medicine | 207 Merchants Walk, Summersville, WV 26651-1901 |
| Richard S Trenbath | Family Medicine | 211 Merchants Walk, Summersville, WV 26651-1901 | |
| Find all physicians in zip 26651 | |||
| City | SUMMERSVILLE |
| Zip Code | 26651 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SUMMERSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bradley Willis.
| 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.