IndividualActive
John Adeniyi, M.D., F.A.C.S.
NPI 1306920756 · Vascular Surgery Physician · Bridgeport, WV
Provider details
- NPI number
- 1306920756
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., F.A.C.S.
- Sex
- Male
- Sole proprietor
- No
- License
- WV21293 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
527 Medical Park Dr Ste 501
Bridgeport, WV 26330
Phone: (304) 842-3993
Fax: (304) 842-4083
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 890
Bridgeport, WV 26330-0890
Additional practice locations (1)
- 327 Medical Park DrBridgeport, WV 26330-9006Phone: (681) 342-1000
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.