Berea Urgent Care LLC
Berea Urgent Care LLC is a healthcare organization registered as Nurse Practitioner in Berea, KY, holding Type 2 (organization) NPI 1912054792 since 2007. The authorized official on file is Nawar Soda, Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912054792 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Berea Urgent Care LLC |
| Practice address | 234 BRENWOOD ST, Berea, KY, 40403 |
| Phone | 8599850302 |
| Fax | 8599850308 |
| Enumeration date | 2007-01-04 |
| Last updated in NPPES | 2016-05-12 |
Authorized official
| Name | Nawar Soda |
|---|---|
| Title | Partner |
| Phone | 8599850302 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QU0200X | Urgent Care Clinic/Center | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18D1046850 | Other | KY | CLIA |
| 65944373 | Medicaid | KY | — |
Copy-ready billing details
Provider: Berea Urgent Care LLC NPI: 1912054792 Taxonomy: 363L00000X (Nurse Practitioner) Address: 234 BRENWOOD ST, Berea, KY, 40403
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144216235 | Darwin Whitaker | Individual | Physician Assistant | Berea, KY |
| 1083812598 | Nawar Soda | Individual | Family Medicine Physician | Berea, KY |
| 1982144143 | Kristin Morgan | Individual | Family Nurse Practitioner | Berea, KY |
| 1093345977 | Adam Deshong | Individual | Family Nurse Practitioner | Berea, KY |
| 1710644810 | Gwendolyn Perch | Individual | Family Nurse Practitioner | Berea, KY |
Verify this record
Cross-check NPI 1912054792 against the authoritative CMS record: view Berea Urgent Care LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Berea Urgent Care LLC?
Who is the authorized official for Berea Urgent Care LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-05-12.