NPIMap

Organization Active NPI

Brian S. Love MD, Inc

  • Family Medicine Physician
  • Beckley, WV
National Provider Identifier
1376796961
Registry record updated Jul 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22407 Issued in WV
Legal business name
BRIAN S. LOVE MD, INC
Practice address
3157 Robert C Byrd Dr
Beckley, WV 25801-3724
Phone
(304) 253-9355
Fax
(740) 444-5501
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2015

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

Authorized official

Name
Brian S. Love, MD
Title
Owner
Phone
(304) 253-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 22407 WV Primary

Addresses

Primary practice location

3157 Robert C Byrd Dr
Beckley, WV 25801-3724

Mailing address

3157 Robert C Byrd Dr
Beckley, WV 25801-3724
Phone (304) 964-9098

Other identifiers 1

IdentifierTypeStateIssuer
3810013674MedicaidWV

National Provider Directory

National Provider Directory

Locations

2302 S Fayette St
Unit 2
Beckley, WV 25801

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6958/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436054400000",
    "number": "1376796961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013724",
            "telephone_number": "304-964-9098",
            "fax_number": "740-444-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013724",
            "telephone_number": "304-253-9355",
            "fax_number": "740-444-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN S. LOVE MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2015-07-05",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-253-9355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013674",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 5, 2015; 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.