MANUEL B. VILLANUEVA M.D. P.C. NPI 1457532632

NPI Information

  • NPI: 1457532632
  • Provider Name: MANUEL B. VILLANUEVA M.D., P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 6070 ROBERT C BYRD DR
    BRADLEY, WV
    ZIP 25818
  • Phone: (304) 877-2600

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NPI Details

MANUEL B. VILLANUEVA M.D., P.C. is a family medicine in Bradley, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MANUEL B. VILLANUEVA M.D., P.C. NPI is 1457532632. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6070 ROBERT C BYRD DR
BRADLEY, WV
ZIP 25818
Phone: (304) 877-2600
Fax: (304) 877-2600

The provider's authorized official is Manuel B. Villanueva .
The authorized official title is Owner and has the following contact phone number (304) 877-2600.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 5/22/2008.

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
1207Q00000XFamily Medicine11992WEST VIRGINIAYes

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
1410013738OTHERWEST VIRGINIARAILROAD MEDICARE
20056004000MEDICAIDWEST VIRGINIA
39195181MEDICARE PINWEST VIRGINIA
4D49310MEDICARE UPINWEST 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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