Family Medicine of Berkeley Springs, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16621 Issued in WV

Legal business name

FAMILY MEDICINE OF BERKELEY SPRINGS, INC.

Practice address

236 N Washington St
Berkeley Springs, WV 25411-1551

Phone

(304) 258-4408

Fax

(304) 258-6858

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Joseph Berens, M.D.NPI 1912962358

Title

President/Owner

Phone

(304) 258-4408

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Joseph Berens, MD

  • Family Medicine Physician
  • Berkeley Springs, WV
  • NPI 1912962358
  Medicare reassignment NPD Authorized official
• Barry L Michael, PA

  • Medical Physician Assistant
  • Winchester, VA
  • NPI 1528047818

  WV

  Medicare reassignment

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700968351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N WASHINGTON ST",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111551",
            "telephone_number": "304-258-4408",
            "fax_number": "304-258-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N WASHINGTON ST",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111551",
            "telephone_number": "304-258-4408",
            "fax_number": "304-258-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF BERKELEY SPRINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERENS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "304-258-4408",
        "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": "16621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801930000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmela Emerson, RN
• Peggy S Emerson
• Enduracare
• Christine L Ethredge
• Sue Ellen Fait
• Nancy L Farris
• Anita E Fedoriw
• Grace Fedoriw
• Eric M Fehr, SLP
• Sandra S Fletcher

• Family Medicine Physician in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.