Individual
STEPHEN BRETT WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 BROOKSHIRE LN, BECKLEY, WV 25801-6729
(304) 253-1077
(304) 253-9611
Mailing address
215 BROOKSHIRE LN, BECKLEY, WV 25801-6729
(304) 253-1077
(304) 253-9611
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
21405
WV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101271336
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
21405
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712652
BCBS
WV
05
—
1811139000
—
WV
Enumeration date
08/30/2006
Last updated
05/12/2021
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