Active NPI
Brandon M Lingenfelter DO PHD
- Obstetrics & Gynecology Physician
- Princeton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3064
- Legal business name
- BRANDON M LINGENFELTER DO PHD
- Practice address
- 411 12TH Street Ext
Princeton, WV 24740-2300 - Phone
- (681) 282-5591
- Fax
- (681) 282-5593
- NPI assigned
- May 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Michael Lingenfelter, D.O.
- Title
- Owner
- Phone
- (681) 282-5591
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3064 | WV | Primary |
Addresses
Primary practice location
411 12TH Street Ext
Princeton, WV 24740-2300
Mailing address
411 12TH Street Ext
Princeton, WV 24740-2300
Phone (681) 282-5591
Other practice location 1
825 Davis St
Blacksburg, VA 24060-7009
Phone (681) 282-5591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
825 Davis St
Ste B2
Blacksburg, VA 24060
Phone (681) 282-5591
411 12th Street Ext
Princeton, WV 24740
Phone (681) 282-5591
608 New Hope Rd
Ste 2
Princeton, WV 24740
Phone (304) 425-0403
Interoperability endpoints
- https://api.platform.athenahealth.com/16885/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Akron, OH
- NPI 1083174536
WV
-
- Advanced Practice Midwife
- Charleston, WV
- NPI 1427051549
-
- Physician Assistant
- Princeton, WV
- NPI 1538358379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644969600000",
"number": "1255788758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 12TH STREET EXT",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402300",
"telephone_number": "681-282-5591",
"fax_number": "681-282-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 12TH STREET EXT",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402300",
"telephone_number": "681-282-5591",
"fax_number": "681-282-5593"
}
],
"practiceLocations": [
{
"address_1": "825 Davis St",
"address_purpose": "LOCATION",
"city": "Blacksburg",
"state": "VA",
"postal_code": "240607009",
"country_code": "US",
"telephone_number": "681-282-5591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRANDON M LINGENFELTER DO PHD",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-16",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A",
"authorized_official_last_name": "LINGENFELTER",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "681-282-5591",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "3064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.