Greenbrier Physicians, Inc

Primary specialty

Darkroom TechnicianTaxonomy code 2472D0500X

Legal business name

GREENBRIER PHYSICIANS, INC

Practice address

200 Maplewood Ave
Ronceverte, WV 24970-1334

Phone

(304) 647-1140

Fax

(304) 647-3006

NPI assigned

Apr 2, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John D Trout

Title

Clinic Administrator

Phone

(304) 647-1140

Specialties & licenses 8

Addresses

Tax ID family

Greenbrier Physicians I4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Greenbrier Physicians Rural Health Clinic

  • Rural Health Clinic/Center
  • Ronceverte, WV
  • NPI 1952865255
  NPD tax ID
• Greenbrier Physicians, Inc.

  • Clinical Medical Laboratory
  • Ronceverte, WV
  • NPI 1790806651
  NPD tax ID
• Greenbrier Physicians, Inc. Optical Shop

  • Ophthalmic Technician/Technologist
  • Ronceverte, WV
  • NPI 1861629917
  NPD tax ID

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.

• Constance L. Anderson, D.O.

  • Family Medicine Physician
  • Ronceverte, WV
  • NPI 1043237613
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154442028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701334",
            "telephone_number": "304-647-1140",
            "fax_number": "304-647-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701334",
            "telephone_number": "304-647-1140",
            "fax_number": "304-647-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "304-647-1140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2472D0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Darkroom",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471B0102X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis R Glasser Jr., R.PH.
• Heather Lynn Gordon
• Greenbrier County Board of Health
• Greenbrier County Board of Health
• Greenbrier Physicians Rural Health Clinic
• Greenbrier Physicians, Inc
• Greenbrier Physicians, Inc.
• Greenbrier Physicians, Inc. Optical Shop
• Greenbrier Valley Anesthesia LLC
• Greenbrier Valley Emergency Physicians LLC

• Other Technician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Other Technician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.