Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. FRED T. PULIDO JR. M.D.
NPI 1114986031
Plastic Surgery in Charleston, WV

Q: What is Fred Pulido's NPI number?

The NPI number for Fred Pulido is 1114986031. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Fred Pulido's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Fred Pulido was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2006

1213 VIRGINIA ST E, THIRD FLOOR, CHARLESTON, WV 25301(304) 345-5466(304) 345-5472 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Fred T. Pulido Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRED T. PULIDO JR. M.D. (NPI 1114986031) is an individual plastic surgery provider in Charleston, West Virginia, licensed in West Virginia (10371) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1114986031

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. FRED T. PULIDO JR.Credential: M.D.

Location Address1213 VIRGINIA ST E, THIRD FLOORCharleston, WV 25301-2908

Mailing Address1213 Virginia St E, Third FloorCharleston, WV 25301-2908 · (304) 345-5466 · Fax (304) 345-5472

Phone(304) 345-5466

Fax(304) 345-5472

Sole ProprietorNo

Enumeration DateMarch 20, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1114986031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in WV · 10371

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1213 VIRGINIA ST E, Charleston, WV 25301

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Other Identifiers 4

Medicaid0114257000WV

Other3572755200WV · U.s. Dept. Of Labor

Other0359506WV · Cigna

Other225394WV · Mamsi

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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