# BERKELEY FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Berkeley Family Medicine Associates, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609974229
- **Authorized official:** MS. ANGELA L BARBER (BILLING MANAGER)
- **Authorized official phone:** (304) 263-8911

## Contact information

- **Practice address:** 101 MARCLEY DR, MARTINSBURG, WV 25401-2977
- **Practice address phone:** (304) 263-8911
- **Practice address fax:** (304) 263-9450
- **Mailing address:** 101 MARCLEY DR, MARTINSBURG, WV 25401-2977
- **Mailing address phone:** (304) 263-8911
- **Mailing address fax:** (304) 263-9450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 011191 | WV | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 03/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011451000 | — | WV |
| 01 | — | 6784310001 | DMEPOS PTAN | WV |
| 01 | — | C10269 | RAILROAD MEDICARE | WV |