Crystal Bastin MD LLC
NPI 1053539387 · Family Medicine Physician · South Charleston, WV
Crystal Bastin MD LLC is a Family Medicine Physician organization in South Charleston, WV (NPI 1053539387).
Provider details
- NPI number
- 1053539387
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Davis, Office Manager(304) 720-0390
- License
- 20368 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2013-11-12
Frequently asked questions
- What is Crystal Bastin MD LLC's NPI number?
- Crystal Bastin MD LLC's National Provider Identifier (NPI) is 1053539387, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Bastin MD LLC?
- Crystal Bastin MD LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Crystal Bastin MD LLC located?
- Crystal Bastin MD LLC's practice location on file with NPPES is 4820 Kentucky St, South Charleston, WV 25309-1310.
- What is Crystal Bastin MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Crystal Bastin MD LLC is (304) 720-0390.
- Who is the authorized official for Crystal Bastin MD LLC?
- The authorized official listed on Crystal Bastin MD LLC's NPPES record is Shannon Davis, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Bastin MD LLC's NPI active?
- Yes — Crystal Bastin MD LLC's NPI (1053539387) is active in the NPPES registry as of the last update on 2013-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.