Organization Active NPI

Associated Family Practice, Inc

  • Family Medicine Physician
  • South Charleston, WV
National Provider Identifier
1043376932
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASSOCIATED FAMILY PRACTICE, INC
Practice address
5220 Maccorkle Ave SW
South Charleston, WV 25309-1010
Phone
(304) 720-6735
Fax
(304) 720-6737
NPI assigned
Dec 28, 2006
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. D Duane Berry, DONPI 1730174145
Title
Owner
Phone
(304) 720-6735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5220 Maccorkle Ave SW
South Charleston, WV 25309-1010

Mailing address

5220 Maccorkle Ave SW
S Charleston, WV 25309-1010
Phone (304) 720-6735

National Provider Directory

National Provider Directory

Locations

5220 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 720-6735

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1043376932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 MACCORKLE AVE SW",
            "city": "S CHARLESTON",
            "state": "WV",
            "postal_code": "253091010",
            "telephone_number": "304-720-6735",
            "fax_number": "304-720-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091010",
            "telephone_number": "304-720-6735",
            "fax_number": "304-720-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "D DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-720-6735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.