Active NPI
Charles E Porterfield DO
- Pulmonary Disease Physician
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 1084
- Legal business name
- CHARLES E PORTERFIELD DO
- Practice address
- 3771 Robert C Byrd Drive
Beckley, WV 25801 - Phone
- (304) 255-5710
- Fax
- (304) 255-5702
- NPI assigned
- Mar 29, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles E Porterfield, DO
- Title
- Physician
- Phone
- (304) 255-5710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 1084 | WV | Primary |
Addresses
Primary practice location
3771 Robert C Byrd Drive
Beckley, WV 25801
Mailing address
PO Box 1307
Beckley, WV 25802-1307
Phone (304) 255-5710
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070983001 | Medicaid | WV | |
| D01256325 | Other | FEDERAL | |
| P00171545 | Other | RR MEDICARE | |
| 155429 | Other | UMWA FUNDS | |
| 4245814 | Other | WV | AETNA |
National Provider Directory
National Provider DirectoryLocations
3771 Robert C Byrd Dr
Beckley, WV 25801
Phone (304) 255-5666
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Beckley, WV
- NPI 1164486486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720108582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1307",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258021307",
"telephone_number": "304-255-5710",
"fax_number": "304-255-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3771 ROBERT C BYRD DRIVE",
"city": "BECKLEY",
"state": "WV",
"postal_code": "25801",
"telephone_number": "304-255-5710",
"fax_number": "304-255-5702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES E PORTERFIELD DO",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PORTERFIELD",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "304-255-5710",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WV",
"license": "1084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0070983001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL",
"identifier": "D01256325",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00171545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA FUNDS",
"identifier": "155429",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4245814",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.