MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
NPI 1891892097
Dermatology in Bridgeport, WV

Q: What is Mountain State Medical Specialties, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since September 20, 2006

120 MEDICAL PARK DR, SUITE 200, BRIDGEPORT, WV 26330(304) 624-7200(304) 554-0413 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2025, Jul 18, 2019 (2 updates tracked since 2019).

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About Mountain State Medical Specialties, Pllc NPPES

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

MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC (NPI 1891892097) is a healthcare organization registered as a dermatology in Bridgeport, West Virginia and active in the NPI registry since September 2006. The organization lists Eugene Brent Kirkland, Cmo, as its authorized official.

NPPES Registry Identity

NPI1891892097

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameMOUNTAIN STATE MEDICAL SPECIALTIES, PLLC

Location Address120 MEDICAL PARK DR, SUITE 200Bridgeport, WV 26330-9012

Mailing AddressPo Box 746750Atlanta, GA 30374-6750 · (866) 680-8505 · Fax (937) 436-4156

Phone(304) 624-7200

Fax(304) 554-0413

Organization SubpartNo

Authorized OfficialEugene Brent KirklandCmo · (513) 701-5526

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration

NPPES CertifiedMarch 14, 2025

✔ NPI 1891892097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

120 MEDICAL PARK DR, Bridgeport, WV 26330

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Other Identifiers 1

Medicaid3810004579WV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 17

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

FRANCES BLAKE MURRAY MD

Family Medicine

120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330

Harrison County (304) 624-7200

SHARIFEH FARASAT MD

Dermatology

120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330

Harrison County (304) 624-7200

ERIN COLLEEN HAWKINS FNP-BC

Nurse Practitioner (Family)

120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330

Harrison County (304) 624-7200

DR. FRANK THOMAS ANGOTTI III M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

120 MEDICAL PARK DR, UNITED SUMMIT CENTER - FRANK ANGOTTI MD
BRIDGEPORT, WV 26330

Harrison County (304) 848-2000

JAMES E MALONE D.O.

Family Medicine

120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330

Harrison County (304) 624-7200

MELISSA MINIGH

Pharmacist

120 MEDICAL PARK DR, SUITE 102
BRIDGEPORT, WV 26330

Harrison County (304) 423-5200

DR. CHARLES BRADLEY FRANZ M.D.

Dermatology

120 MEDICAL PARK DR, SUITE 200
BRIDGEPORT, WV 26330

Harrison County (304) 624-7200

MS. KRISTIN B SMUCKER P.A.

Physician Assistant

120 MEDICAL PARK DR, SUITE 200
BRIDGEPORT, WV 26330

Harrison County (304) 624-7200

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 Mountain State Medical Specialties, PLLC's NPI number?

The NPI number for Mountain State Medical Specialties, PLLC is 1891892097. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Mountain State Medical Specialties, PLLC located?

Mountain State Medical Specialties, PLLC is located at 120 Medical Park Dr Suite 200, Bridgeport, WV 26330. The listed phone number is (304) 624-7200.

What is Mountain State Medical Specialties, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Mountain State Medical Specialties, PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 2 other insurers list Mountain State Medical Specialties, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain State Medical Specialties, PLLC was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.