Mountain State Medical Specialties, PLLC
NPI 1891892097ActiveOrganization· Dermatology· Bridgeport, WV
Dermatology in Bridgeport, West Virginia, registered in NPPES in September 2006. The authorized official on file is Eugene Brent Kirkland, MD, Cmo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1891892097 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Mar 14, 2025 |
| Certified by provider | Mar 14, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (WV); Part B Supplier - Independent Clinical Laboratory (WV) |
|---|
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