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GREENBRIER VMC LLC NPI 1417153172


NPI Information

NPI: 1417153172
Provider Name: GREENBRIER VMC LLC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 51D0686634

Address:
RR 2 BOX 171-C
GREYROCK PROFESSIONAL PARK
LEWISBURG, WV
ZIP 24901
Phone: (304) 793-2059
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GREENBRIER VMC LLC is a surgery in Lewisburg, WV. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GREENBRIER VMC LLC NPI is 1417153172. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

RR 2 BOX 171-C
GREYROCK PROFESSIONAL PARK
LEWISBURG, WV
ZIP 24901-318
Phone: (304) 793-2059

The provider's authorized official is Debbie Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (877) 892-9813.

The CLIA number assigned to this NPI record is 51D0686634 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 12/6/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207R00000XInternal MedicineNo
3208600000XSurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19322161MEDICARE PINWEST VIRGINIA
20106041003MEDICAIDWEST 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: 4/28/2024

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