Organization Active NPI

Riverview Primary Care

  • Family Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1114162765
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RIVERVIEW PRIMARY CARE
Practice address
1217 Blizzard Dr
Parkersburg, WV 26101-6152
Phone
(049) 161-7203
Fax
(304) 916-1723
NPI assigned
Dec 11, 2008
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Dr. Brandon M. Wolfe, DONPI 1760493043
Title
Owner
Phone
(049) 161-7203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WV Primary

Addresses

Primary practice location

1217 Blizzard Dr
Parkersburg, WV 26101-6152

Mailing address

1217 Blizzard Dr
Parkersburg, WV 26101-6152
Phone (304) 916-1720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090305000391 WV Part B Supplier - Clinic/Group Practice 4284790825 Receives reassigned benefits from 1 practitioner
Practice locations: Parkersburg, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1062315Riverview Primary Care PLLC1217 Blizzard Drive, Parkersburg, WV 26101Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

1217 Blizzard Dr
Parkersburg, WV 26101
Phone (304) 916-1714

600 18th St
Ste 303
Parkersburg, WV 26101
Phone (304) 424-4146

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCCBD

Practitioners & affiliated clinicians

Practitioners 6

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": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1114162765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 BLIZZARD DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016152",
            "telephone_number": "304-916-1720",
            "fax_number": "304-916-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 BLIZZARD DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016152",
            "telephone_number": "049-161-7203",
            "fax_number": "304-916-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "049-161-7203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.