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

Mr. Dakota Benjamin Brooker, PA-C

Individual provider Physician Assistant · NPI 1558026377

Mr. Dakota Benjamin Brooker, PA-C is a Physician Assistant in Glen Dale, West Virginia. Qualified in 2021, 5 years ago. Practices with Reynolds Memorial Hospital, Inc, a 153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio and West Virginia.

Years since qualifying
5
Licensed in
OH, WV
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

800 Wheeling Ave
Glen Dale, WV 26038-1697
Phone: (304) 221-4570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2562 (WV)
Physician Assistant Taxonomy 363A00000X · Licence 50.007121RX (OH)

Record details

NPI number1558026377
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2021
Last updated in NPPESOctober 9, 2024
Certification dateOctober 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Reynolds Memorial Hospital, Inc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Glen Dale