NPIMap

Organization Active NPI

Greenbrier Care LLC

  • Family Medicine Physician
  • White Sulphur Springs, WV
National Provider Identifier
1629266432
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11804 Issued in WV
Legal business name
GREENBRIER CARE LLC
Practice address
167 Kates Mountain Road
White Sulphur Springs, WV 24986-2414
Phone
(304) 536-4870
Fax
(304) 536-8010
NPI assigned
Oct 5, 2007
Organization subpart
Yes
Parent organization
GREENBRIER CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Richard B Kline, M.D.
Title
Physician
Phone
(304) 536-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 11804 WV Primary

Addresses

Primary practice location

167 Kates Mountain Road
White Sulphur Springs, WV 24986-2414

Mailing address

167 Kates Mountain Road
White Sulphur Springs, WV 24986-2414
Phone (304) 536-4870

Other identifiers 3

IdentifierTypeStateIssuer
DG9945OtherWVRAILROAD PTAN
345877OtherVAANTHEM
02007626OtherWVBLUECROSS/BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080403000254 WV Part B Supplier - Clinic/Group Practice 3678650470 Receives reassigned benefits from 5 practitioners
Practice locations: White Sulphur Springs, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1080332Greenbrier Care LLC167 Kates Mountain Road, White Sulphur Springs, WV 24986Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory
Part of
The Greenbrier Clinic I

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1629266432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 KATES MOUNTAIN ROAD",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862414",
            "telephone_number": "304-536-4870",
            "fax_number": "304-536-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 KATES MOUNTAIN ROAD",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862414",
            "telephone_number": "304-536-4870",
            "fax_number": "304-536-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENBRIER CLINIC, INC.",
        "enumeration_date": "2007-10-05",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-536-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "11804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "DG9945",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "345877",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "02007626",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Sulphur Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.