BLUEFIELD GASTROENTEROLOGY PLLC NPI 1093869968

NPI Information

  • NPI: 1093869968
  • Provider Name: BLUEFIELD GASTROENTEROLOGY PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 405 12TH STREET EXT
    PRINCETON, WV
    ZIP 24740
  • Phone: (304) 425-7243

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NPI Details

BLUEFIELD GASTROENTEROLOGY PLLC is a specialist in Princeton, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BLUEFIELD GASTROENTEROLOGY PLLC NPI is 1093869968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

405 12TH STREET EXT
PRINCETON, WV
ZIP 24740-300
Phone: (304) 425-7243
Fax: (304) 487-3525

The provider's authorized official is Kamalesh P Patel .
The authorized official title is Owner and has the following contact phone number (304) 425-7243.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 11/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CK3736OTHERWEST VIRGINIARAILROAD MEDICARE
23810004352MEDICAIDWEST VIRGINIA
31807132OTHERWEST VIRGINIABLUECROSS BLUESHIELD
49327311MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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