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NPI Code Detail

MEDICARE: BENJAMIN R BIRNEY MD

MEDICARE:   BENJAMIN R BIRNEY  MD
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician34069WV

General Provider Information

NPI Number : 1922560424
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN R BIRNEY MD
Provider Business Mailing Address
First Line : 1 LEWIS LNDG
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3863
Country : US
Telephone Number : 631-275-4201
Fax Number :
Provider Business Practice Location Address
First Line : 943 MAPLE DR LOWR LEVEL
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-2812
Country : US
Telephone Number : 304-598-4830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2019
Last Update Date : 03/30/2026

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Directions to “ BENJAMIN R BIRNEY MD” Practice Location

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