WVU OBSTETRICS & GYNECOLOGY-BRIDGEPORT
NPI 1457605404
Clinical Medical Laboratory in Bridgeport, WV

Active since October 30, 2012CLIA 51D2241252 · Waiver
527 MEDICAL PARK DR, SUITE 108, BRIDGEPORT, WV 26330(304) 848-2152 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wvu Obstetrics & Gynecology-bridgeport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WVU OBSTETRICS & GYNECOLOGY-BRIDGEPORT (NPI 1457605404) is a healthcare organization registered as a clinical medical laboratory in Bridgeport, West Virginia and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Terry D Miller, Provider Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1457605404
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Location Address527 MEDICAL PARK DR, SUITE 108Bridgeport, WV 26330-9008
Mailing AddressP O Box 780Morgantown, WV 26507-0780 · (304) 285-7101
Organization SubpartNo
Authorized OfficialTerry D MillerProvider Enrollment Specialist · (304) 285-7101
Enumeration DateOctober 30, 2012
✔ NPI 1457605404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in WV · 51D2012387
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
527 MEDICAL PARK DR, Bridgeport, WV 26330

Other Names 1

Doing Business AsWvu Obstetrics & Gynecology-bridgeport

Other Identifiers 2

Medicaid0011526000WV
Medicare PIN9121131

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wvu Obstetrics & Gynecology-bridgeport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,464

Medicare enrollment records show 2,464 clinicians reassign Medicare billing to Wvu Obstetrics & Gynecology-Bridgeport, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 45 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 71

Nurse Practitioner551
Certified Registered Nurse Anesthetist (CRNA)159
Pediatric Medicine156
Internal Medicine146
Anesthesiology125
Family Practice110
Diagnostic Radiology104
Emergency Medicine96
63 other specialties1,017

Nearest to this location (20)

See all 2,464
Nurse Practitioner
NPI 1346436664
527 MEDICAL PARK DR STE 108
Bridgeport, WV 26330
(304) 848-2150
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952931933
527 MEDICAL PARK DR STE 205
Bridgeport, WV 26330
(681) 342-3730
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1437690617
527 MEDICAL PARK DR STE 108
Bridgeport, WV 26330
(304) 848-2150
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1134193840
527 MEDICAL PARK DR STE 205
Bridgeport, WV 26330
(681) 342-3730
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1093342545
527 MEDICAL PARK DR
Bridgeport, WV 26330
(800) 607-8888
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1437136702
527 MEDICAL PARK DR SUITE 205
Bridgeport, WV 26330
(304) 842-0804
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1417177742
527 MEDICAL PARK DR STE. 402
Bridgeport, WV 26330
(681) 342-3500
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1225247877
527 MEDICAL PARK DR STE 205
Bridgeport, WV 26330
(304) 933-3800
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1952507972
527 MEDICAL PARK DR STE 202
Bridgeport, WV 26330
(304) 933-3800
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1174563092
527 MEDICAL PARK DR STE 400
Bridgeport, WV 26330
(681) 342-3550
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1548422751
327 MEDICAL PARK DR
Bridgeport, WV 26330
(681) 342-1000
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1992956031
327 MEDICAL PARK DR
Bridgeport, WV 26330
(681) 342-1980
✔ PECOS0.1 mi
Emergency Medicine
NPI 1215517412
327 MEDICAL PARK DR
Bridgeport, WV 26330
(681) 342-1000
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689231441
327 MEDICAL PARK DR
Bridgeport, WV 26330
(681) 342-1000
✔ Accepts Medicare0.1 mi
Urology
NPI 1508483496
327 MEDICAL PARK DR
Bridgeport, WV 26330
(401) 368-2486
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1114224169
327 MEDICAL PARK DR 4 EAST WVU HEALTHCARE OB/GYN
Bridgeport, WV 26330
(304) 848-2150
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1073710802
327 MEDICAL PARK DR
Bridgeport, WV 26330
(681) 342-1523
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1376101162
327 MEDICAL PARK DR
Bridgeport, WV 26330
(681) 342-1000
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1194765180
227 MEDICAL PARK DR STE 103
Bridgeport, WV 26330
(681) 342-3500
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1669669453
139 CONFERENCE CENTER WAY SUITE 113
Bridgeport, WV 26330
(304) 599-8000
✔ PECOS0.5 mi
See all 2,464 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2241252

Wvu Obstetrics & Gynecology Bridgeport University Health Assoc · Bridgeport, WV
Active · expires Oct 25, 2027
CLIA Number51D2241252
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorDr. Richard W. King
Laboratory Phone(304) 848-2152
Laboratory LocationWvu Obstetrics & Gynecology Bridgeport University Health AssocUnited Hospital Center East-4th Floor 327 Medical Park Dr, Bridgeport, WV 26330
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Virginia University Medical Corporation's NPI number?

The NPI number for West Virginia University Medical Corporation is 1457605404. It was assigned to this organization in the NPPES registry on October 30, 2012. The provider is doing business as Wvu Obstetrics & Gynecology-Bridgeport.

Where is West Virginia University Medical Corporation located?

West Virginia University Medical Corporation is located at 527 Medical Park Dr Suite 108, Bridgeport, WV 26330. The listed phone number is (304) 848-2152.

What is West Virginia University Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is West Virginia University Medical Corporation enrolled in Medicare?

Yes. West Virginia University Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Virginia University Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,464 clinicians in 71 Medicare specialties reassign their Medicare billing to West Virginia University Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (551), Certified Registered Nurse Anesthetist (CRNA) (159) and Pediatric Medicine (156). Of these, 10 practice at this address and 45 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Virginia University Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2241252) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Virginia University Medical Corporation was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.