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Family Medicine, Adult Medicine

BRADDOCK MEDICAL GROUP P.A.

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Practice location in FORT ASHBY

Public record

NPI 1104962729 · enumerated 2007-01-30 · record updated 2016-11-01. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: Dr. PAUL LIVENGOOD MD, Owner · (304) 298-3605

Other names: FORT ASHBY FAMILY PRACTICE

Addresses and phones

Specialties

  • Family Medicine, Adult Medicine 207QA0505X · Primary · License 11172 WV

In this directory

Locations and evidence

  • Practice location FORT ASHBY, WV, 267191150
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.