Family Medicine
Dr. CRYSTAL BASTIN M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1962453191 · enumerated 2006-05-12 · record updated 2022-01-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: CRYSTAL HEATHERMAN
Addresses and phones
- Practice location 4820 KENTUCKY ST, SOUTH CHARLESTON, WV, 25309 (304) 720-0390 Fax (304) 720-0391 Google Maps Apple Maps OpenStreetMap
- Mailing address 4605 MACCORKLE AVE SW, THS PHYSICIAN PARTNERS, INC. - ADMIN OFC, SOUTH CHARLESTON, WV, 25309-1311 (304) 414-4800 Fax (304) 414-4801 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 20368 WV
In this directory
Locations and evidence
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Practice location
SOUTH CHARLESTON, WV, 25309
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.