BJSM MED INC NPI 1326037011

NPI Information

  • NPI: 1326037011
  • Provider Name: BJSM MED INC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 202 MAPLEWOOD AVE
    GREENBRIER VALLEY MEDICAL CENTER
    RONCEVERTE, WV
    ZIP 24970
  • Phone: (304) 647-4411

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NPI Details

BJSM MED INC is an emergency medicine in Ronceverte, WV. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. BJSM MED INC NPI is 1326037011. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

202 MAPLEWOOD AVE
GREENBRIER VALLEY MEDICAL CENTER
RONCEVERTE, WV
ZIP 24970-334
Phone: (304) 647-4411
Fax: (304) 647-6064

The provider's authorized official is John M Johnson .
The authorized official title is Pres and has the following contact phone number (304) 647-6080.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 8/22/2020.

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
1207P00000XEmergency MedicineYes

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
14000458000MEDICAIDWEST 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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