OrganizationActive
Mountain State Vascular, Inc.
NPI 1104318625 · Vascular Surgery Physician · Beckley, WV
Provider details
- NPI number
- 1104318625
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Whyte, Owner(304) 250-0382
- License
- 22852 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
121 George Street
Beckley, WV 25801
Phone: (304) 250-0382
Street-level locationGet directions
Mailing address
Po Box 1267
Lewisburg, WV 24901-4267
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.