Healthcare Provider Details

I. General information

NPI: 1689719403
Provider Name (Legal Business Name): BLUEFIELD PULMONARY CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WESTWOOD CMN
BLUEFIELD VA
24605-2031
US

IV. Provider business mailing address

PO BOX 90
BLUEFIELD WV
24701-0090
US

V. Phone/Fax

Practice location:
  • Phone: 276-322-3947
  • Fax: 276-322-2344
Mailing address:
  • Phone: 276-322-3947
  • Fax: 276-322-2344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OSCAR FERNANDO FIGUEROA
Title or Position: C.E.O.
Credential: M.D.
Phone: 276-322-3947