Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley S Willis, MD

Individual provider Family Medicine Physician · NPI 1578777389

Bradley S Willis, MD is a Family Practice in Summersville, West Virginia. Graduated from West Virginia University School of Medicine in 2006, 20 years ago. Practices with Braxton County Memorial Hospital, a 46-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
20
Trained at
West Virginia University School of Medicine
Licensed in
WV
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone: (304) 872-8545
Fax: (304) 872-0675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 23490 (WV)

Record details

NPI number1578777389
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address400 Fairview Heights Rd, Summersville, WV 26651-9308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Braxton County Memorial Hospital — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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