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 is a Family Medicine Physician 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
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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