Organization Active NPI

Navdeep S Purewal PLLC

  • Psychiatry Physician
  • Weirton, WV
National Provider Identifier
1376815548
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21993 Issued in WV
Legal business name
NAVDEEP S PUREWAL PLLC
Practice address
485 Colliers Way
Suite H
Weirton, WV 26062-5012
Phone
(304) 723-4040
Fax
(304) 723-9607
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dr. Navdeep S Purewal, M.D.
Title
MD/Owner
Phone
(304) 670-0579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 21993 WV Primary

Addresses

Primary practice location

485 Colliers Way
Suite H
Weirton, WV 26062-5012

Mailing address

57 Curie Dr
Weirton, WV 26062-5395
Phone (304) 670-0579

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1376815548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CURIE DR",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625395",
            "telephone_number": "304-670-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 COLLIERS WAY",
            "address_2": "SUITE H",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625012",
            "telephone_number": "304-723-4040",
            "fax_number": "304-723-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVDEEP S PUREWAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "NAVDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "304-670-0579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "21993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.