Greenbrier Physicians, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREENBRIER PHYSICIANS, INC

Practice address

1322 Maplewood Ave
Ronceverte, WV 24970-8016

Phone

(304) 647-5114

Fax

(304) 647-3006

NPI assigned

Nov 28, 2006

Last updated

Mar 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert R. Repass

Title

Clinic Administrator

Phone

(304) 647-1140

Specialties & licenses 12

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Ambra Baldwin Nida, FNP-BC

  • Family Nurse Practitioner
  • Buckeye, WV
  • NPI 1558517060
  NPD
• Brittany Young Baker, FNP

  • Family Nurse Practitioner
  • Covington, VA
  • NPI 1225693294
  NPD
• Jefferson Patrick Casto, M.D.

  • Surgery Physician
  • Lewisburg, WV
  • NPI 1134133796
  NPD (past)
• Timothy Horsky, D.O.

  • Surgery Physician
  • Everett, PA
  • NPI 1578519096
  NPD (past)
• Gary Frank Roberts, DO

  • Cardiovascular Disease Physician
  • Prestonsburg, KY
  • NPI 1689636599
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1982770244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-647-5114",
            "fax_number": "304-647-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-647-5114",
            "fax_number": "304-647-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-03-24",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "REPASS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "304-647-1140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Gordon
• Greenbrier County Board of Health
• Greenbrier County Board of Health
• Greenbrier Physicians Rural Health Clinic
• Greenbrier Physicians, Inc
• Greenbrier Physicians, Inc.
• Greenbrier Physicians, Inc. Optical Shop
• Greenbrier Valley Anesthesia LLC
• Greenbrier Valley Emergency Physicians LLC
• Greenbrier Valley ENT PLLC

• Internal Medicine Physician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.