NPIMap

Organization Active NPI

Greenbrier Valley Urology Associates, Inc

  • Urology Physician
  • Ronceverte, WV
National Provider Identifier
1386630408
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
GREENBRIER VALLEY UROLOGY ASSOCIATES, INC
Practice address
119 Maplewood Ave
Ronceverte, WV 24970-9737
Phone
(304) 647-5642
Fax
(304) 647-5644
NPI assigned
Sep 23, 2005
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Kyle F FortNPI 1578559696
Title
MD President
Phone
(304) 647-5642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

119 Maplewood Ave
Ronceverte, WV 24970-9737

Mailing address

119 Maplewood Ave
Ronceverte, WV 24970-9737
Phone (304) 647-5642

National Provider Directory

National Provider Directory

Locations

103 Westwood Cmn
Bluefield, VA 24605
Phone (276) 322-3947

1 Arh Ln
Ste 102
Low Moor, VA 24457
Phone (540) 862-6777

410 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333

296 New Hope Rd
Princeton, WV 24740
Phone (304) 431-1101

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

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": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1386630408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249709737",
            "telephone_number": "304-647-5642",
            "fax_number": "304-647-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249709737",
            "telephone_number": "304-647-5642",
            "fax_number": "304-647-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER VALLEY UROLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "304-647-5642"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.