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Delta Lifestyle Solutions

Family Medicine Physician in Bridgeport, WV · enumerated 2020 · authorized official Mary Hackney, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619579208

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Registry record

Entity type Organization (Type 2)
Legal business name Delta Lifestyle Solutions
Practice address 109 Tolley Dr, Bridgeport, WV, 26330
Fax (304) 623-6302
Enumeration date Nov 10, 2020
Last updated in NPPES Nov 5, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Mary Hackney
Title Owner

Other identifiers

Identifier Type State Issuer
1639326747 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Delta Lifestyle Solutions?
Delta Lifestyle Solutions is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-05.