Organization Active NPI

Berkshire Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Wyomissing, PA
National Provider Identifier
1053842096
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
6523261 Issued in PA
Legal business name
BERKSHIRE ORTHOPEDICS LLC
Practice address
2201 Ridgewood Rd
Suite 250
Wyomissing, PA 19610-1189
Phone
(610) 375-4949
Fax
(610) 375-6233
NPI assigned
Mar 22, 2017
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Michelle Hamm
Title
Billing
Phone
(610) 375-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 6523261 PA Primary

Addresses

Primary practice location

2201 Ridgewood Rd
Suite 250
Wyomissing, PA 19610-1189

Mailing address

2201 Ridgewood Rd
Suite 250
Wyomissing, PA 19610-1189
Phone (610) 375-4949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170531000964 PA Part B Supplier - Clinic/Group Practice 8628345303 Receives reassigned benefits from 15 practitioners
Practice locations: Wyomissing, PA

National Provider Directory

National Provider Directory

Locations

2201 Ridgewood Rd
Ste 250
Wyomissing, PA 19610
Phone (610) 372-7429

2201 Ridgewood Rd
Ste 330
Wyomissing, PA 19610
Phone (610) 375-4354

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1053842096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "address_2": "SUITE 250",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-375-4949",
            "fax_number": "610-375-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "address_2": "SUITE 250",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-375-4949",
            "fax_number": "610-375-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "610-375-4949"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "6523261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.