Organization Active NPI

Bsim

  • Internal Medicine Physician
  • Berkeley Springs, WV
National Provider Identifier
1932382801
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16325 Issued in WV
Legal business name
BSIM
Practice address
226 Gayle Dr
Berkeley Springs, WV 25411-6301
Phone
(304) 258-9433
Fax
(304) 258-6063
NPI assigned
Dec 13, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Rosemarie Reynolds
Title
Physician Practice Manager
Phone
(540) 247-2701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 16325 WV Primary

Addresses

Primary practice location

226 Gayle Dr
Berkeley Springs, WV 25411-6301

Mailing address

136 Linden Dr
Suite 104
Winchester, VA 22601-2818
Phone (540) 678-3588

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1932382801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012818",
            "telephone_number": "540-678-3588",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 GAYLE DR",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254116301",
            "telephone_number": "304-258-9433",
            "fax_number": "304-258-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE MANAGER",
        "authorized_official_telephone_number": "540-247-2701"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "16325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.