NPIMap

Organization Active NPI

Berkshire Allergy Care, P.C.

  • Allergy & Immunology Physician
  • Pittsfield, MA
National Provider Identifier
1033328786
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
189926 Issued in MA
Legal business name
BERKSHIRE ALLERGY CARE, P.C.
Practice address
369 South St
Pittsfield, MA 01201-6865
Phone
(413) 443-4826
Fax
(413) 443-4488
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas B. Edwards, M.D.NPI 1740215771
Title
President
Phone
(413) 443-4826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 189926 MA Primary

Addresses

Primary practice location

369 South St
Pittsfield, MA 01201-6865

Mailing address

369 South St
Pittsfield, MA 01201-6865
Phone (413) 443-4826

Other identifiers 2

IdentifierTypeStateIssuer
9785604MedicaidMA
158837OtherMATUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160706001651 MA Part B Supplier - Clinic/Group Practice 3678865938 Receives reassigned benefits from 5 practitioners
Practice locations: Pittsfield, MA; Worcester, MA; Framingham, MA

National Provider Directory

National Provider Directory

Locations

100 Mlk Jr Blvd
Ste 200
Worcester, MA 01608
Phone (508) 757-1589

425 Lake Ave N
Ste 201
Worcester, MA 01605
Phone (508) 757-1589

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1033328786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016865",
            "telephone_number": "413-443-4826",
            "fax_number": "413-443-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016865",
            "telephone_number": "413-443-4826",
            "fax_number": "413-443-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE ALLERGY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-443-4826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "189926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9785604",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "158837",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.