Individual
ADAM J BREINIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1563 SAND PLANT RD, SOUTH CHARLESTON, WV 25309-6120
(304) 756-1500
(304) 756-1548
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2066
WV
207Q00000X
Family Medicine Physician
34.009487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001880346
MOUNTAIN STATE BCBS
—
05
—
2667118
—
OH
05
—
3810005861
—
WV
01
—
P00359256
MEDICARE RAILROAD
OH
01
—
P00749570
RAILROAD MEDICARE
WV
Enumeration date
07/10/2006
Last updated
08/26/2014
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