| Jeffery T Braham, DO | |
|
800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 | |
| (304) 485-3300 | |
| (304) 485-3317 |
| Full Name | Jeffery T Braham |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 800 Grand Central Mall, Vienna, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790788545 | NPI | - | NPPES |
| 0046514000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34.008763 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 1492 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of West Virginia | Charleston, WV | Home health agency |
| Summersville Regional Medical Center | Summersville, WV | Hospital |
| Greenbrier Valley Medical Center | Ronceverte, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia School Of Osteopathic Medicine Clinic Inc | 0941113427 | 32 |
| United Physicians Care Inc | 6103814017 | 101 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871539296 PECOS PAC ID: 0941113427 Enrollment ID: O20031111000104 |
| Entity Name | United Physicians Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184849200 PECOS PAC ID: 6103814017 Enrollment ID: O20040706001382 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013496991 PECOS PAC ID: 0941113427 Enrollment ID: O20210913003075 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093220303 PECOS PAC ID: 0941113427 Enrollment ID: O20210914002817 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery T Braham, DO 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 Ph: (304) 485-3300 | Jeffery T Braham, DO 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 Ph: (304) 485-3300 |
Richard B Boone, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall Ste 11, Vienna, WV 26105 Phone: 304-916-1270 Fax: 304-916-1705 | |
Catherine A Adkins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317 | |
Mrs. Halee Janelle Bowie, APRN-FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall Ste 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317 | |
Dr. David Ralph Ferrell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 Grand Central Ave, Ste 115, Vienna, WV 26105 Phone: 304-295-2311 | |
Thomas A Herrmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317 | |
Kelly C Fluharty, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317 | |
Dr. Michael Edward Beane, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave, Vienna, WV 26105 Phone: 304-485-3627 Fax: 304-295-2315 |