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

Logan Robert Godfrey, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790429173

Logan Robert Godfrey, MD is a Student in an Organized Health Care Education/Training Program in Morgantown, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone: (304) 293-3092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1491 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790429173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2022
Last updated in NPPESJuly 4, 2023
Certification dateJuly 4, 2023

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