NPI 1790130722 · live from the CMS NPI Registry
Lonnie Berry, MD
Emergency Medicine in Logan, WV. National Provider Identifier 1790130722, active.
NPI record
| NPI | 1790130722 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 20 Hospital Dr, Logan, WV 25601 |
| Practice phone | 304-831-1101 |
| Mailing address | 1249 15th St, Suite 2000, Huntington, WV 25701 |
| Enumerated | April 27, 2016 |
| Last updated | July 27, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine | 207R00000X | 28833 (WV) |
| Emergency Medicine primary | 207P00000X | 28833 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.