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BEREA FAMILY MEDICINE, INC
NPI 1629190921
Family Medicine in Berea, OH

Active since April 06, 2007
853 W BAGLEY RD, BEREA, OH 44017(440) 234-0502(440) 234-0590 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Berea Family Medicine, Inc NPPES

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

BEREA FAMILY MEDICINE, INC (NPI 1629190921) is a healthcare organization registered as a family medicine in Berea, Ohio and active in the NPI registry since April 2007. The organization lists Mary Ellen Wiggenhorn, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1629190921
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEREA FAMILY MEDICINE, INC
Location Address853 W BAGLEY RDBerea, OH 44017-2903
Mailing Address853 W Bagley RdBerea, OH 44017-2903 · (440) 234-0502 · Fax (440) 234-0590
Phone(440) 234-0502
Fax(440) 234-0590
Organization SubpartNo
Authorized OfficialMary Ellen WiggenhornPractice Manager · (440) 234-0502
Enumeration DateApril 6, 2007
Last NPPES UpdateOctober 20, 2010
✔ NPI 1629190921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35049545
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
853 W BAGLEY RD, Berea, OH 44017
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Other Identifiers 2

Medicaid2849172OH
Medicare PINN09340931

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERRY C TARDIO M.D.
Family Medicine
853 W BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 234-0502

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 Berea Family Medicine, Inc's NPI number?

The NPI number for Berea Family Medicine, Inc is 1629190921. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Berea Family Medicine, Inc located?

Berea Family Medicine, Inc is located at 853 W Bagley Rd, Berea, OH 44017. The listed phone number is (440) 234-0502.

What is Berea Family Medicine, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Berea Family Medicine, Inc was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.