Unknown Individual – Family Medicine Physician, NPI 1952329203

Unknown Individual is a healthcare provider. based in Bluefield, Virginia. specializing in Family Medicine Physician. They hold a License No. 914 (WV). The NPI Number for Unknown Individual is 1952329203

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952329203
Phone
(276) 326-3386
Address
112 SPRUCE ST
Deactivation Date
21 April 2021

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
2062543887
Professional Enrollment ID
I20100623000313
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 112, Spruce Street, Bluefield, Tazewell County, Virginia, 24605, United States

    BOX 1006

    BLUEFIELD, VA 246051738

    Phone: (276) 326-3386

    Fax: (276) 322-4174

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24605)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1952329203 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Bluefield, Virginia may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. PHILLIP ALLEN PETERSON (MD)

Family Medicine Physician
106 HUFFARD DR
NPI: 1104882596

RANIA BAJWA ROSBOROUGH (M.D.)

Family Medicine Physician
2111 College Ave
NPI: 1326095100

DR. JONATHAN DAVID YATES (D.O)

Family Medicine Physician
College Avenue, Bluefield, Mercer County, West Virginia, 24605, United States
NPI: 1073557047
Bluefield Post Office, 507, Virginia Avenue, Bluefield, Tazewell County, Virginia, 24605, United States
NPI: 1942233184
Westwood Medical Park, Bluefield, Tazewell County, Virginia, 24701, United States
NPI: 1326073321

DR. TUSHAR C SHAH (MD)

Family Medicine Physician
13121 RIVERS BEND BLVD
NPI: 1598871659
Bluefield, Mercer County, West Virginia, 24701, United States
NPI: 1174612824

DR. CAROL ASBURY (M.D.)

Family Medicine Physician
3720 Coal Heritage Rd
NPI: 1659433951

DR. NICK ROHIT PATEL (M.D.)

Family Medicine Physician
140 BAREFOOT LANDING DR
NPI: 1851559454