IndividualActive
Benjamin Jackson, M.D.
NPI 1629502562 · Addiction Medicine (Family Medicine) Physician · Buckhannon, WV
Provider details
- NPI number
- 1629502562
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 30171 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
34 N Kanawha St
Buckhannon, WV 26201-2714
Phone: (304) 473-2250
Fax: (304) 472-1208
Street-level locationGet directions
Mailing address
34 N Kanawha St
Buckhannon, WV 26201-2714
Additional practice locations (1)
- 1 Medical Center Dr Rm 204Morgantown, WV 26506-1200Phone: (304) 598-6900Fax: (304) 285-7373
Registry dates
- Enumerated
- 2017-04-18
- Last updated
- 2022-09-07
- Certified
- 2022-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.