NPI 1639706591 · live from the CMS NPI Registry
Bryce Elwin Anderson
Emergency Medicine in Glen Dale, WV. National Provider Identifier 1639706591, active.
NPI record
| NPI | 1639706591 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 800 Wheeling Ave, Glen Dale, WV 26038 |
| Practice phone | 048-453-2113 |
| Mailing address | Po Box 9149, Morgantown, WV 26506 |
| Enumerated | March 23, 2020 |
| Last updated | June 5, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | M-17103 (ID) |
| Emergency Medicine primary | 207P00000X | 31944 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.