Dr. Richard Wade King, M.D.
Obstetrics & Gynecology in Bridgeport, WV. Individual provider (NPI-1).
NPI number1437136702
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1437136702
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Wade King
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2005
- Certification date
- Apr 12, 2022
- Last updated
- Apr 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | WV17472B | WV | Yes |
Practice location
527 Medical Park DrSuite 205
Bridgeport, WV 26330-9008
Phone 304-842-0804 · Fax 304-842-0806
Mailing address
527 Medical Park DrSuite 205
Bridgeport, WV 26330-9008
Phone 304-842-0804 · Fax 304-842-0806
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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