Individual
DENZIL W HAWKINBERRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 473-2250
(304) 924-5460
Mailing address
34 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 473-2250
(304) 924-5460
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20823
WV
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
20823
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706469
BLUE CROSS
WV
01
—
001808009
MSBCBS
WV
01
—
001907643
MSBCBS GROUP
WV
05
—
0207026000
—
WV
01
—
1068812
BRICKSTREET
WV
01
—
205542387
TRICARE
WV
01
—
20554238700
WORKERS COMP
WV
01
—
205542387001
TRICARE
WV
01
—
2332177174-00
OHIO WORKERS COMP
WV
01
—
2528367
OHIO MEDICAID
WV
01
—
270052997004
TRICARE MAAC
WV
01
—
27005997004
TRICARE
WV
05
—
3810001133
—
WV
05
—
3810006746
—
WV
01
—
DF0767
RR MEDICARE
WV
01
—
P00382001
RR MEDICARE
WV
01
—
P00407274
RR MEDICARE
WV
Enumeration date
09/25/2006
Last updated
09/12/2023
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