Newbrough, Mark A.

Newbrough, Mark A. is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Newbrough, Mark A. can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 40225 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14732 West Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 0101252865 Virginia

Profile Details

NPI number 1548369473
LBN Legal business name Newbrough, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548369473 NPPES
West Virginia Other 000626574 MS BCBS
West Virginia Other 4271801 MS BCBS
West Virginia MEDICAID 0040799000 MS BCBS

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