OrganizationActive
United Hospital Center
NPI 1780767772 · Rheumatology Physician · Bridgeport, WV
Provider details
- NPI number
- 1780767772
- Entity type
- Organization
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- United Hospital Center, Inc
- Organization subpart
- Yes
- Authorized official
- Michael Tillman, Ceo(681) 342-1000
- License
- WV107 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
710 Genesis Blvd
Bridgeport, WV 26330-9668
Phone: (681) 342-3490
Fax: (681) 342-3491
Approximate (ZIP-level) locationGet directions
Mailing address
527 Medical Park Dr Ste 400
Bridgeport, WV 26330-9010
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2017-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.