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

West Virginia University Medical Corporation

Organization Surgery Physician · NPI 1508702838

West Virginia University Medical Corporation is a Surgery Physician in Martinsburg, West Virginia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4

Practice location Address checks out

880 N Tennessee Ave Ste 107
Martinsburg, WV 25401-9401
Phone: (304) 260-1476
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1508702838
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWest Virginia University Medical Corporation
Authorized official Justin Gibson — Vp Of Finance · (304) 598-4256
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing addressPo Box 780, Morgantown, WV 26507-0780

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