IndividualActive
Bernard Grose, PA-C
NPI 1790087187 · Physician Assistant · Saint Albans, WV
Provider details
- NPI number
- 1790087187
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 01522 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12 Kanawha Ter
Saint Albans, WV 25177-2750
Phone: (304) 201-1130
Fax: (304) 201-1134
Approximate (ZIP-level) locationGet directions
Mailing address
12 Kanawha Ter
Saint Albans, WV 25177-2750
Registry dates
- Enumerated
- 2010-11-17
- Last updated
- 2023-07-24
- Certified
- 2023-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.