Individual
DR. BRADLEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6727
(304) 399-6726
Mailing address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6727
(304) 399-6726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3734
WV
208M00000X
Hospitalist Physician
3734
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000061
—
OH
01
—
004995730
HIGHMARK
WV
05
—
1881150035
—
WV
05
—
7100840490
—
KY
01
—
WVD438A
MEDICARE
WV
Enumeration date
02/13/2019
Last updated
10/25/2022
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