BEREA FAMILY MEDICINE, INC – Family Medicine Physician, NPI 1629190921

BEREA FAMILY MEDICINE, INC is a healthcare provider. based in Berea, Ohio. specializing in Family Medicine Physician. The organization holds a License No. 35049545 (OH). The NPI Number for BEREA FAMILY MEDICINE, INC is 1629190921

Main info

Organization
Name
BEREA FAMILY MEDICINE, INC
NPI
1629190921
Phone
(440) 234-0502
Address
853 W BAGLEY RD
Authorized Official
MARY ELLEN WIGGENHORN PRACTICE MANAGER LPN
Enumeration Date
6 April 2007
Last Update Date
20 October 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for BEREA FAMILY MEDICINE, INC

  • 853 W BAGLEY RD

    BEREA, OH 440172903

    Phone: (440) 234-0502

    Fax: (440) 234-0590

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

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

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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 44017)

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Reviews

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Frequently asked questions

What is the registry number for BEREA FAMILY MEDICINE, INC?
The registry entry for BEREA FAMILY MEDICINE, INC shows NPI 1629190921.
Is BEREA FAMILY MEDICINE, INC's NPI status active today?
Active status means BEREA FAMILY MEDICINE, INC's NPI record is not deactivated in the public file.
What services align with BEREA FAMILY MEDICINE, INC's listing?
BEREA FAMILY MEDICINE, INC's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to BEREA FAMILY MEDICINE, INC?
BEREA FAMILY MEDICINE, INC shows a connection to Berea, Ohio in registry-derived data.
Can I export BEREA FAMILY MEDICINE, INC's record?
You can download the official NPPES record; we summarize key fields for readability.

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