Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mountain State Medical Specialties, Pllc

Dermatology Physician in Bridgeport, WV · enumerated 2006 · authorized official Eugene Kirkland, Cmo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891892097

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Registry record

Entity type Organization (Type 2)

Legal business name Mountain State Medical Specialties, Pllc

Practice address 120 Medical Park Dr, Suite 200, Bridgeport, WV, 26330

Phone (304) 624-7200

Fax (304) 554-0413

Enumeration date Sep 20, 2006

Last updated in NPPES Mar 14, 2025

Taxonomy & classification

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians Secondary

207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians Secondary

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Eugene Kirkland

Title Cmo

Phone (513) 701-5526

Other identifiers

Identifier	Type	State	Issuer
3810004579	Medicaid	WV	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Mountain State Medical Specialties, Pllc?

Mountain State Medical Specialties, Pllc is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-14.