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

Bryan S Stafford, PAC

Individual provider Family Medicine Physician · NPI 1154412435

Bryan S Stafford, PAC is a Physician Assistant in Beckley, West Virginia. Qualified in 1997, 29 years ago. Practices with Southern West Virginia Primary Care Inc, a 4-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
29
Licensed in
WV
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

415 Carriage Dr
Beckley, WV 25801
Phone: (304) 732-6735
Fax: (304) 732-9218
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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 197 (WV)

Record details

NPI number1154412435
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Southern West Virginia Primary Care Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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