Individual
BRANDON SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27950
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
27950
WV
207RP1001X
Pulmonary Disease Physician
Primary
27950
WV
Other
Enumeration date
04/16/2015
Last updated
06/01/2023
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