Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE W CANNON, DO
ActiveDR. BRUCE W CANNON, DO is a Vascular Surgery healthcare provider located in BECKLEY, West Virginia. NPI 1861487217 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · BECKLEY, WV
Registration Details
- NPI Number
- 1861487217
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2005 (20.901852930769 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1540 (WV)1540 (WV)
Practice Information
- Address
-
1710 HARPER RDBECKLEY, WV, 258013357Browse WV providers · Browse ZIP 25801
- Phone
- 8002778151
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.