NPIMap

Organization Active NPI

Beckley Vascular Associates PLLC

Doing business as River Region Surgical Specialists

  • Vascular Surgery Physician
  • Beckley, WV
National Provider Identifier
1285814640
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
22852 Issued in WV
Legal business name
BECKLEY VASCULAR ASSOCIATES PLLC
Doing business as
River Region Surgical Specialists
Practice address
122 George St
Beckley, WV 25801-2608
Phone
(304) 250-0382
Fax
(304) 250-0383
NPI assigned
Nov 13, 2007
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Brian R WhyteNPI 1407965668
Title
Medical Director
Phone
(304) 250-0382

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 22852 WV Primary

Addresses

Primary practice location

122 George St
Beckley, WV 25801-2608

Mailing address

122 George St
Beckley, WV 25801-2608
Phone (304) 250-0382

Other practice location 1

120 George St
Beckley, WV 25801-2608
Phone (304) 250-0382

Other practice location 2

121 George St
Beckley, WV 25801-2607
Phone (304) 250-0382

Other names 1

  • River Region Surgical Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000577 WV Part B Supplier - Clinic/Group Practice 1759463797 Receives reassigned benefits from 1 practitioner
Practice locations: Beckley, WV

National Provider Directory

National Provider Directory

Locations

120 George St
Beckley, WV 25801
Phone (304) 250-0382

122 George St
Beckley, WV 25801
Phone (304) 250-0382

Practitioners & affiliated clinicians

Practitioners 7

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1285814640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012608",
            "telephone_number": "304-250-0382",
            "fax_number": "304-250-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012608",
            "telephone_number": "304-250-0382",
            "fax_number": "304-250-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 George St",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012608",
            "country_code": "US",
            "telephone_number": "304-250-0382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 George St",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012607",
            "country_code": "US",
            "telephone_number": "304-250-0382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BECKLEY VASCULAR ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "WHYTE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-250-0382"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "WV",
            "license": "22852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Region Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.

Verify at the official NPI Registry.