Mountain State Medical Specialties, PLLC
NPI 1891892097 · Dermatology Physician · Bridgeport, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain State Medical Specialties, PLLC is a Dermatology Physician organization in Bridgeport, WV (NPI 1891892097).
Provider details
- NPI number
- 1891892097
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eugene Kirkland, Cmo(513) 701-5526
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Allergy & Immunology Physician207K00000X
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Mountain State Medical Specialties, PLLC's NPI number?
- Mountain State Medical Specialties, PLLC's National Provider Identifier (NPI) is 1891892097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain State Medical Specialties, PLLC?
- Mountain State Medical Specialties, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain State Medical Specialties, PLLC located?
- Mountain State Medical Specialties, PLLC's practice location on file with NPPES is 120 Medical Park Dr, Bridgeport, WV 26330-9012.
- What is Mountain State Medical Specialties, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain State Medical Specialties, PLLC is (304) 624-7200.
- Does Mountain State Medical Specialties, PLLC accept Medicare?
- Mountain State Medical Specialties, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain State Medical Specialties, PLLC?
- The authorized official listed on Mountain State Medical Specialties, PLLC's NPPES record is Eugene Kirkland, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain State Medical Specialties, PLLC's NPI active?
- Yes — Mountain State Medical Specialties, PLLC's NPI (1891892097) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.