Individual
MR. BERNARD DEAN GROSE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12 KANAWHA TER, SAINT ALBANS, WV 25177-2750
(304) 201-1130
(304) 201-1134
Mailing address
12 KANAWHA TER, SAINT ALBANS, WV 25177-2750
(304) 201-1130
(304) 201-1134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01522
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790087187
—
WV
05
—
3810019933
—
WV
01
—
WV1245B
MEDICARE PTAN
WV
01
—
WV1245C
MEDICARE PTAN
WV
Enumeration date
11/17/2010
Last updated
07/24/2023
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