Active NPI
Robert Thornton
- Durable Medical Equipment & Medical Supplies
- Bunker Hill, WV
National Provider Identifier
1497110134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2289-9446
- Practice address
- 4253 Specks Run Rd
Bunker Hill, WV 25413-2884 - Phone
- (304) 279-6701
- NPI assigned
- Dec 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2289-9446 | WV | Primary |
Addresses
Primary practice location
4253 Specks Run Rd
Bunker Hill, WV 25413-2884
Mailing address
4253 Specks Run Rd
Bunker Hill, WV 25413-2884
Phone (304) 279-6701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2289-9446 | WV | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1497110134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4253 SPECKS RUN RD",
"city": "BUNKER HILL",
"state": "WV",
"postal_code": "254132884",
"telephone_number": "304-279-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4253 SPECKS RUN RD",
"city": "BUNKER HILL",
"state": "WV",
"postal_code": "254132884",
"telephone_number": "304-279-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-23",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WV",
"license": "2289-9446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bunker Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.