Charbrook Medico, P.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

08251 Issued in WV

Legal business name

CHARBROOK MEDICO, P.C.

Practice address

510 Cherry St
Ste. 202
Bluefield, WV 24701-3338

Phone

(304) 325-3666

Fax

(304) 327-2497

NPI assigned

Sep 21, 2006

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Brookins Taylor, M.D.

Title

President

Phone

(304) 325-3666

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1437257441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CHERRY ST",
            "address_2": "STE. 202",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013338",
            "telephone_number": "304-325-3666",
            "fax_number": "304-327-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CHERRY ST",
            "address_2": "STE. 202",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013338",
            "telephone_number": "304-325-3666",
            "fax_number": "304-327-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARBROOK MEDICO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BROOKINS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-325-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WV",
            "license": "11940",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WV",
            "license": "08251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Legal Medicine in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.