Healthcare Provider Details

I. General information

NPI: 1316920762
Provider Name (Legal Business Name): GREENBRIER DAVID ALMOND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RT. 4 & 20 SOUTH
ROCK CAVE WV
26234
US

IV. Provider business mailing address

48 S KANAWHA ST
BUCKHANNON WV
26201-2634
US

V. Phone/Fax

Practice location:
  • Phone: 304-924-6262
  • Fax: 304-924-6699
Mailing address:
  • Phone: 304-472-7372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number10136
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: