Dr Bruce W Cannon, DO is a
Pain Medicine - Pain Medicine physician based in Beckley, West Virginia. Dr Bruce W Cannon is licensed to practice in West Virginia (license number 1540) and his current practice location is 1710 Harper Rd, Beckley, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(800) 277-8151.
NPI number for Dr Bruce W Cannon is 1861487217 and his current mailing address is L 2772, Columbus, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861487217.
Physician's Profile
| Full Name | Dr Bruce W Cannon |
|---|
| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 1710 Harper Rd, Beckley, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861487217
- Provider Enumeration Date: 09/13/2005
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Dr Bruce W Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861487217 | NPI | - | NPPES |
| 0061930000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 1540 (West Virginia) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 1540 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce W Cannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce W Cannon, DO
L 2772,
Columbus, OH 43260-0001
Ph: (800) 277-8151 | Dr Bruce W Cannon, DO
1710 Harper Rd,
Beckley, WV 25801-3357
Ph: (800) 277-8151 |
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