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Contact Information

BILL D UNDERWOOD, M.D., PH.D.
227 MEDICAL PARK DR STE 103
BRIDGEPORT, WV26330-8421
 Phone: 681-342-3500
 Fax: 681-342-3561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BILL D UNDERWOOD · (Male)

NPI # 1790764850
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 01/17/2006
Last updated 04/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301070369
  • WV License # 24728
  • MI Medicaid 104744530
  • MI Other 0007382674 AETNA HEALTH PLANS
  • MI Other 700F318300 BLUE CROSS BLUE SHIELD
  • MI Other 000000012553 CAPE HEALTH PLAN
  • MI Other I33602 HEALTH ALLIANCE PLAN
Hospital affiliation(s)
  • UNITED HOSPITAL CENTER - (Acute Care)
    327 MEDICAL PARK DRIVE
    BRIDGEPORT, WV 26330
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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