Efren Burgos Valencia Jr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19269 Issued in KY

Practice address

3503 Cumberland Ave
Middlesboro, KY 40965-2611

Phone

(606) 248-7920

Fax

(606) 248-7947

NPI assigned

Jul 21, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Efren B. Valencia, Jr., MD, PSC

  • Surgery Physician
  • Middlesboro, KY
  • NPI 1871790600
  Authorized official Same address or phone
• Valencia Family Practice LLC

  • General Practice Physician
  • Middlesboro, KY
  • NPI 1477781904
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336160647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652611",
            "telephone_number": "606-248-7920",
            "fax_number": "606-248-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652611",
            "telephone_number": "606-248-7920",
            "fax_number": "606-248-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "EFREN",
        "middle_name": "BURGOS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "19269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64192693",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Family Healthcare, PSC
• David K Triplett, PHARMD
• Tonya Michelle Turpin, APRN
• Rogelio L. Uy, M.D.
• Valencia Family Practice LLC
• Sarah Veillon, OTR/L
• Bethany Lauren Wade
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0739)
• Wal-Mart Stores East, LP (Vision Center 30-0739)
• April Wallace

• General Practice Physician in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.