Organization
WVU MEDICAL CORPORATION
Active
Organization
WVU MEDICAL CORPORATION
Active
Other names
MEDICAL OFFICE BUILDING-BRIDGEPORT
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M RUMBLE (PROVIDER ENROLLMENT SPECIALIST)
(304) 285-7101
Entity
Organization
Contact information
Practice address
227 MEDICAL PARK DRIVE, BRIDGEPORT, WV 26330-9010
(681) 342-3500
(681) 342-1957
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7100
(304) 285-7126
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up