Braddock Medical Group P.a. is an Adult Medicine Physician based in Fort Ashby, WV and is specialized in Adult Medicine. Braddock Medical Group P.a. practices in Fort Ashby, WV. The NPI Number for Braddock Medical Group P.a. is 1104962729 and holds a License No. 11172 (West Virginia).
The current practice location address for Braddock Medical Group P.a. is 70 Presidents Street, Fort Ashby, WV and can be reached out via phone at 304-298-3605 and via fax at 304-298-3578.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 850-290 | 01 | MAMSI MDIPA OPTIMUM | |
| H529BR | 01 | MD | BCBS GROUP # |
| W399 | 01 | BCBS FEDERAL PROVIDER # | |
| 00716943 | 01 | WV | BCBS PROVIDER # |
| 41707101 | 01 | MD | BCBS PROVIDER # |
| 3810000010 | 05 | WV | |
| 0003 | 01 | BCBS FEDERAL GROUP # | |
| 0056043000 | 05 | WV |
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