Healthcare Provider Details

I. General information

NPI: 1760774087
Provider Name (Legal Business Name): BRIAN HENRY HUGGINS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 VAN VOORHIS RD
MORGANTOWN WV
26505-3408
US

IV. Provider business mailing address

453 VAN VOORHIS RD
MORGANTOWN WV
26505-3408
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-5100
  • Fax: 304-598-5198
Mailing address:
  • Phone: 304-598-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number2670
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number2670
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: