OrganizationActive
United Vascular & Vein Center PLLC
NPI 1730592353 · Vascular Surgery Physician · Bridgeport, WV
Provider details
- NPI number
- 1730592353
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Adeniyi, President(304) 842-3993
- License
- 21293 (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
12 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
527 Medical Park Dr Ste 501
Bridgeport, WV 26330
Phone: (304) 842-3993
Fax: (304) 842-4083
Street-level locationGet directions
Mailing address
1370 Johnson Ave
Bridgeport, WV 26330-1492
Registry dates
- Enumerated
- 2014-06-11
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.