BRADDOCK MEDICAL GROUP P.A.
BRADDOCK MEDICAL GROUP P.A. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104962729, based in Fort Ashby, WV. It is classified under Adult Medicine Physician.
Getting there
The practice address on file is 70 PRESIDENTS STREET UNIT 1150, Fort Ashby, WV 26719. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 11172 | WV | Adult Medicine Physician primary |
This provider holds licence 11172 issued in WV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Adult Medicine covers
The NUCC recommends this code not be used. Choose a more appropriate code. NUCC Health Care Provider Taxonomy, code 207QA0505X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104962729 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 30, 2007 |
| Last updated | Nov 1, 2016 |
| Status | Active |
| Practice address |
70 PRESIDENTS STREET UNIT 1150 Fort Ashby, WV 26719 (304) 298-3605 Fax (304) 298-3578 |
| Other identifiers |
850-290
· Other H529BR · Other (MD) W399 · Other 00716943 · Other (WV) 41707101 · Other (MD) 3810000010 · Medicaid (WV) 0003 · Other 0056043000 · Medicaid (WV) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 9 | 6 | 2 | 7 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 9 | 6 | 4 | 7 | 4 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.