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

Delta Lifestyle Solutions

Organization Family Medicine Physician · NPI 1619579208

Delta Lifestyle Solutions is a Family Medicine Physician in Bridgeport, West Virginia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

109 Tolley Dr
Bridgeport, WV 26330-1669
Phone: (304) 623-6300
Fax: (304) 623-6302
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X

Record details

NPI number1619579208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Hackney — Owner · (304) 623-6300
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021
Mailing addressPo Box 4246, Clarksburg, WV 26302-4246

Other providers in Bridgeport