Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Berea Family Medicine, Inc

Organization Family Medicine Physician · NPI 1629190921

Berea Family Medicine, Inc provides Family Medicine Physician services in Berea, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

853 W Bagley Rd
Berea, OH 44017-2903 Not confirmed with CMS for 15 years — call before visiting
Phone: (440) 234-0502
Fax: (440) 234-0590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35049545 (OH)

Record details

NPI number1629190921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ellen Wiggenhorn — Practice Manager · (440) 234-0502
NPI enumeratedApril 6, 2007
Last updated in NPPESOctober 20, 2010
Mailing address853 W Bagley Rd, Berea, OH 44017-2903

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