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

West Virginia University Medical Corporation

Organization Emergency Medicine Physician · NPI 1104674480

West Virginia University Medical Corporation is an Emergency Medicine Physician in Martinsburg, West Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

49 Alliance Dr Ste 7
Martinsburg, WV 25404-6425
Phone: (304) 274-2273
Fax: (304) 596-5170
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104674480
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWest Virginia University Medical Corporation
Authorized official Justin Gibson — Vp, Finance · (304) 598-4256
NPI enumeratedMay 10, 2024
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing addressPo Box 780, Morgantown, WV 26507-0780

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