Braddock Medical Group P.A.
Family Medicine - Adult Medicine
About Braddock Medical Group P.A.
Braddock Medical Group P.A. is a healthcare organization providing Family Medicine - Adult Medicine services, with specialized expertise in Adult Medicine, registered under National Provider Identifier (NPI) number 1104962729.
The authorized official for Braddock Medical Group P.A. is PAUL LIVENGOOD. The organization is headquartered at 70 PRESIDENTS STREET, Fort Ashby, West Virginia 26719. The main office can be reached at (304) 298-3605.
It is part of BRADDOCK MEDICAL GROUP PA. Braddock Medical Group P.A. has been NPI-registered since 2007.
Locations & Contact
Primary Location
- Address
- 70 PRESIDENTS STREET
- City
- Fort Ashby
- State
- West Virginia
- ZIP
- 26719-1150
- Phone
- (304) 298-3605
- Fax
- (304) 298-3578
Authorized Official
- Name
- PAUL LIVENGOOD
Mailing Address
- Address
- 70 PRESIDENTS STREET
- City
- FORT ASHBY
- State
- WV
- ZIP
- 267191150
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Family Medicine - Adult Medicine
- Classification
- Family Medicine
- Specialization
- Adult Medicine
- Taxonomy Code
- 207QA0505X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
- Group Practice
- BRADDOCK MEDICAL GROUP PA
Frequently Asked Questions
What is Braddock Medical Group P.A.'s NPI number?
What does Braddock Medical Group P.A. specialize in?
Where is Braddock Medical Group P.A. located?
Does Braddock Medical Group P.A. accept Medicare?
Does Braddock Medical Group P.A. offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Braddock Medical Group P.A. holds NPI 1104962729, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.