OrganizationActive
Berea Family Medicine, Inc
NPI 1629190921 · Family Medicine Physician · Berea, OH
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.