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Dr. Benjamin Charles Cook, M.D.

Family Medicine in Charleston, WV. Individual provider (NPI-1).

NPI number1760892020
StatusActive
Last updated in NPPESFeb 14, 2020

Details

NPI
1760892020
Entity type
Individual (NPI-1)
Name
Dr. Benjamin Charles Cook
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 7, 2014
Certification date
Feb 14, 2020
Last updated
Feb 14, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine27650WVYes

Practice location

5430 Maccorkle Ave Se
Charleston, WV 25304-2224

Phone 304-925-3627

Mailing address

5430 Maccorkle Ave Se
Charleston, WV 25304-2224

Phone 304-925-3627 · Fax 304-925-1163

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Charleston, WV

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