IndividualActive
Richard Douglas, M.D.,F.A.C.S.
NPI 1710961669 · Neurological Surgery Physician · Bridgeport, WV
Provider details
- NPI number
- 1710961669
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.,F.A.C.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 20050 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
527 Medical Park Drive
Suite 401
Bridgeport, WV 26330
Phone: (681) 342-3500
Fax: (681) 342-3561
Approximate (ZIP-level) locationGet directions
Mailing address
527 Medical Park Drive
Bridgeport, WV 26330
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.