Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

West Virginia University Medical Corporation

Organization Family Medicine Physician · NPI 1174404305

West Virginia University Medical Corporation provides Family Medicine Physician services in Martinsburg, West Virginia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

155 Health Care Ln
Martinsburg, WV 25401-4008
Phone: (304) 596-6911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174404305
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWest Virginia University Medical Corporation
Authorized official Justin Gibson — Vp Of Finance · (304) 598-4256
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing addressPo Box 780, Morgantown, WV 26507-0780

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