MEDICARE: BRITTAIN MCJUNKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	11591	WV
2	207RG0100X	Gastroenterology Physician	11591	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100016116	OTHER		RAILROAD MEDICARE
2	P00419463	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	001720244	OTHER		BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023044195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTAIN MCJUNKIN MD

Provider Business Mailing Address
First Line	:	3110 MACCORKLE AVE SE
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-1210
Country	:	US
Telephone Number	:	304-347-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3110 MACCORKLE AVE SE
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-1210
Country	:	US
Telephone Number	:	304-347-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	10/03/2013

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Directions to “ BRITTAIN MCJUNKIN MD” Practice Location

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