NPI 1578893301 · live from the CMS NPI Registry
Nathan C Berry, D.O.
Emergency Medicine in Fairmont, WV. National Provider Identifier 1578893301, active.
NPI record
| NPI | 1578893301 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 110 Meadowlane Ave, Fairmont, WV 26554 |
| Practice phone | 256-443-4743 |
| Mailing address | 55 Hospital Dr, Petersburg, WV 26847 |
| Enumerated | December 29, 2009 |
| Last updated | April 5, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 2440 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.