BRYCE ELWIN ANDERSON
NPI 1639706591
Emergency Medicine in Glen Dale, WV

Q: What is Bryce Anderson's NPI number?

The NPI number for Bryce Anderson is 1639706591. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Bryce Anderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryce Anderson was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 23, 2020PECOS EnrolledAccepts Medicare Assignment

800 WHEELING AVE, GLEN DALE, WV 26038(048) 453-2113(304) 843-3202 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, Feb 5, 2025, Dec 21, 2022 and 1 more (4 updates tracked since 2020).

On this page

About Bryce Elwin Anderson NPPES

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

BRYCE ELWIN ANDERSON (NPI 1639706591) is an individual emergency medicine provider in Glen Dale, West Virginia, licensed in West Virginia (31944) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639706591

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameBRYCE ELWIN ANDERSON

Location Address800 WHEELING AVEGlen Dale, WV 26038-1697

Mailing AddressPo Box 9149Morgantown, WV 26506-9149 · (304) 293-2436 · Fax (304) 293-6702

Phone(048) 453-2113

Fax(304) 843-3202

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 23, 2020

Last NPPES UpdateJune 5, 20254 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1639706591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WV · 31944✔ Licensed in ID · M-17103

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

800 WHEELING AVE, Glen Dale, WV 26038

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Secondary Practice Locations 2

Location 11 Medical Center DrMorgantown, WV 26506-1200 · Phone (304) 293-2436 · Fax (304) 293-6702

Location 21224 8th StRupert, ID 83350-1599 · Phone (208) 436-0481 · Fax (208) 436-6038

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryce Elwin Anderson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496127318

PECOS Enrollment IDI20230413000856

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Bryce Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rocky Mountain Physician Group LLC

1,648 mi

Emergency Medicine

777 HOSPITAL WAY
Pocatello, ID 83201

Reassigned Medicare billing, Idaho enrollment
16 clinicians in this Medicare group

NPI 1851808133 (480) 421-9700

Cep America LLC

1,648 mi

Emergency Medicine

777 HOSPITAL WAY
Pocatello, ID 83201

Reassigned Medicare billing, Idaho enrollment
81 clinicians in this Medicare group

NPI 1962257410 (208) 239-1000

Minidoka Memorial Hospital

1,712 mi

Rural Health

1308 8TH ST, SUITE 1
Rupert, ID 83350

Reassigned Medicare billing, Idaho enrollment
Also billed through NPI 1679553531 (Idaho)
61 clinicians in this Medicare group

NPI 1043387426 (208) 436-4322

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

265 services251 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

235 services214 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

83 services79 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

59 services58 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID

4/5 CMS rating

OwnershipProprietary

CMS Certification Number130028

Location777 Hospital WayPocatello, ID 83201 · Bannock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. CODY BRAXTON LARSEN MD

Emergency Medicine