# FAMILY MEDICINE OF BERKELEY SPRINGS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700968351
- **Authorized official:** DR. ANDREW JOSEPH BERENS M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (304) 258-4408

## Contact information

- **Practice address:** 236 N WASHINGTON ST, BERKELEY SPRINGS, WV 25411-1551
- **Practice address phone:** (304) 258-4408
- **Practice address fax:** (304) 258-6858
- **Mailing address:** 236 N WASHINGTON ST, BERKELEY SPRINGS, WV 25411-1551
- **Mailing address phone:** (304) 258-4408
- **Mailing address fax:** (304) 258-6858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 16621 | WV | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1801930000 | — | WV |