Provider Demographics
NPI:1871054569
Name:NEELEY, BRANDON CHASE (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:CHASE
Last Name:NEELEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4607 MACCORKLE AVE SW STE 400
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1364
Mailing Address - Country:US
Mailing Address - Phone:304-767-7900
Mailing Address - Fax:304-414-7437
Practice Address - Street 1:4607 MACCORKLE AVE SW STE 400
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1364
Practice Address - Country:US
Practice Address - Phone:304-767-7900
Practice Address - Fax:304-414-7437
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN679452084E0001X
WV354882084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy