Individual
BRUCE L. PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5289
(740) 446-5697
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5289
(740) 446-5697
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16694
WV
2085R0202X
Diagnostic Radiology Physician
Primary
35-06-0247
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007285
ANTHEM BCBS
—
01
—
000000193002
UNISON MEDICAID
OH
01
—
001714061
MOUNTAIN STATE BCBS
—
05
—
0118365000
—
WV
01
—
0798650
MOLINA MEDICAID
OH
01
—
300028175
RR MEDICARE
—
Enumeration date
06/07/2006
Last updated
11/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us