Individual
DR. BRYAN D RAYBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506
(304) 598-4800
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101043192
VA
207RC0000X
Cardiovascular Disease Physician
27250
WV
207RI0011X
Interventional Cardiology Physician
Primary
27250
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006042031
—
VA
01
—
054847
ANTHEM BCBS/TRIGON
—
01
—
060007366
MEDICARE - RAILROAD
—
01
—
4137746
AETNA PPO
—
01
—
486305
AETNA HMO
—
01
—
502860
NCPPO
—
01
—
541042964
ONE HEALTH PLAN/GREAT WST
—
01
—
6975-0007
CAREFIRST BCBS
—
Enumeration date
07/06/2005
Last updated
07/21/2022
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