# INJURY CENTER OF WV

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336956648
- **Authorized official:** ROBERT JOHN BROOKS DC (OWNER)
- **Authorized official phone:** (614) 619-6965

## Contact information

- **Practice address:** 130 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4599
- **Practice address phone:** (681) 519-9779
- **Mailing address:** 3000 CORPORATE EXCHANGE DR STE 110, COLUMBUS, OH 43231-7689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/11/2024
- **Last updated:** 12/11/2024