Organization
EVENTUS PREMIER HEALTHCARE - WEST VIRGINIA LLC
Active
Organization
EVENTUS PREMIER HEALTHCARE - WEST VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY GOAD DO (OWNER)
(844) 932-5700
Entity
Organization
Contact information
Practice address
128 CAPITOL ST, CHARLESTON, WV 25301-2610
(844) 932-5700
Mailing address
PO BOX 1431, DEPT 430, CHARLOTTE, NC 28201-1431
(844) 932-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/22/2024
Last updated
06/12/2026
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