OrganizationActive
Berea Family Medicine, Inc
NPI 1629190921 · Family Medicine Physician · Berea, OH
Berea Family Medicine, Inc is a Family Medicine Physician organization in Berea, OH (NPI 1629190921).
Provider details
- NPI number
- 1629190921
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Ellen Wiggenhorn, Practice Manager(440) 234-0502
- License
- 35049545 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
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
853 W Bagley Rd
Berea, OH 44017-2903
Phone: (440) 234-0502
Fax: (440) 234-0590
Street-level locationGet directions
Mailing address
853 W Bagley Rd
Berea, OH 44017-2903
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2010-10-20
Frequently asked questions
- What is Berea Family Medicine, Inc's NPI number?
- Berea Family Medicine, Inc's National Provider Identifier (NPI) is 1629190921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Berea Family Medicine, Inc?
- Berea Family Medicine, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Berea Family Medicine, Inc located?
- Berea Family Medicine, Inc's practice location on file with NPPES is 853 W Bagley Rd, Berea, OH 44017-2903.
- What is Berea Family Medicine, Inc's phone number?
- The practice phone number listed in the NPPES registry for Berea Family Medicine, Inc is (440) 234-0502.
- Who is the authorized official for Berea Family Medicine, Inc?
- The authorized official listed on Berea Family Medicine, Inc's NPPES record is Mary Ellen Wiggenhorn, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Berea Family Medicine, Inc's NPI active?
- Yes — Berea Family Medicine, Inc's NPI (1629190921) is active in the NPPES registry as of the last update on 2010-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.