Individual provider Active NPI

Carol Asbury, M.D.

  • Family Medicine Physician
  • Bluefield, WV
National Provider Identifier
1659433951
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17750 Issued in WV
Practice address
510 Cherry St Ste 308
Bluefield, WV 24701
Phone
(304) 324-1905
NPI assigned
Dec 14, 2006
Last updated
Jan 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101051600 VA
Family Medicine Physician 207Q00000X 17750 WV Primary

Addresses

Primary practice location

510 Cherry St Ste 308
Bluefield, WV 24701

Mailing address

425 Carriage LN
Bluefield, VA 24605-9522
Phone (276) 322-1709

Other practice location 1

3720 Coal Heritage Rd
Bluefield, WV 24701
Phone (304) 589-4377

Other practice location 2

3720 Coal Heritage Rd
Bluefield, WV 24701
Phone (304) 589-4377

Other identifiers 3

IdentifierTypeStateIssuer
0045985000MedicaidWV
005608473MedicaidVA
990001929OtherTRAVELERS RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000482 WV Practitioner - Family Practice 5395889638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101051600VAMDFamily Medicine Physician
17750WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluefield HBP Medical Group LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carol.asbury.6@2694.direct.athenahealth.com
  • Direct secure messaging: cmasbury@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1659433951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CARRIAGE LN",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246059522",
            "telephone_number": "276-322-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CHERRY ST STE 308",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "24701",
            "telephone_number": "304-324-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Coal Heritage Rd",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "24701",
            "country_code": "US",
            "telephone_number": "304-589-4377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3720 Coal Heritage Rd",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "24701",
            "country_code": "US",
            "telephone_number": "304-589-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASBURY",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101051600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "17750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045985000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005608473",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RAILROAD",
            "identifier": "990001929",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

Verify at the official NPI Registry.