MEDICARE: BECKLEY GASTROENTEROLOGY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001706111	OTHER	WV	BC
2	DB1458	OTHER	WV	RR MCARE

General Provider Information

NPI Number	:	1578554432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BECKLEY GASTROENTEROLOGY INC

Provider Business Mailing Address
First Line	:	PO BOX 787
Second Line	:
City	:	CRAB ORCHARD
State	:	WV
Zip	:	25827-0787
Country	:	US
Telephone Number	:	304-253-5793
Fax Number	:	304-253-0166

Provider Business Practice Location Address
First Line	:	207 SUNSET DR
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-2825
Country	:	US
Telephone Number	:	304-255-5723
Fax Number	:	304-929-3953

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NAINESH PATEL
Credential	:	MD
Telephone Number	:	304-237-4797

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	10/08/2025

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