1. Home
  2. Directory
  3. West Virginia
  4. Mathias
  5. Technician
  6. NPI Profile

BRENT CHAMP
NPI 1205420148
Technician - Personal Care Attendant in Mathias, WV

Active since February 22, 2021
643 WHITE FAWN RD, MATHIAS, WV 26812(304) 636-9396 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2021, Feb 22, 2021 (2 updates tracked since 2021).

About Brent Champ NPPES

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

BRENT CHAMP (NPI 1205420148) is an individual personal care attendant in Mathias, West Virginia and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1205420148
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameBRENT CHAMP
Location Address643 WHITE FAWN RDMathias, WV 26812-8665
Mailing Address643 White Fawn RdMathias, WV 26812-8665
Phone(304) 636-9396
Sole ProprietorNo
Enumeration DateFebruary 22, 2021
Last NPPES UpdateJune 29, 20212 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1205420148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
643 WHITE FAWN RD, Mathias, WV 26812
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

STARSHA ELIZABETH CHAMP
Technician (Personal Care Attendant)
643 WHITE FAWN RD
MATHIAS, WV 26812
Hardy County (304) 490-9164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Champ's NPI number?

The NPI number for Brent Champ is 1205420148. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Brent Champ located?

Brent Champ practices at 643 White Fawn Rd, Mathias, WV 26812. The listed phone number is (304) 636-9396.

What is Brent Champ's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Brent Champ was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.