NPIMap

Organization Active NPI

Med-Care LLC

  • Family Medicine Physician
  • Bridgeport, WV
National Provider Identifier
1689279705
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MED-CARE LLC
Practice address
27 Trovato St Ste 101
Bridgeport, WV 26330-7285
Phone
(681) 758-5141
Fax
(304) 623-6302
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Durwood F Gandee, MDNPI 1568541415
Title
Owner
Phone
(681) 758-5141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

27 Trovato St Ste 101
Bridgeport, WV 26330-7285

Mailing address

27 Trovato St Ste 101
Bridgeport, WV 26330-7285
Phone (681) 758-5141

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1689279705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TROVATO ST STE 101",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263307285",
            "telephone_number": "681-758-5141",
            "fax_number": "304-623-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TROVATO ST STE 101",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263307285",
            "telephone_number": "681-758-5141",
            "fax_number": "304-623-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "GANDEE",
        "authorized_official_first_name": "DURWOOD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "681-758-5141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.