NPIMap

Organization Active NPI

Robert M Berger MD, PC

  • Ophthalmology Physician
  • Springfield, MA
National Provider Identifier
1063498376
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33015 Issued in MA
Legal business name
ROBERT M BERGER MD, PC
Practice address
275 Bicentennial Hwy
Springfield, MA 01118-1900
Phone
(413) 783-3100
Fax
(413) 782-7998
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Robert M Berger, M.D.NPI 1225014194
Title
Owner/Ophthalmologist
Phone
(413) 783-3100

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 33015 MA Primary

Addresses

Primary practice location

275 Bicentennial Hwy
Springfield, MA 01118-1900

Mailing address

275 Bicentennial Hwy
Springfield, MA 01118-1900
Phone (413) 783-3100

Other identifiers 2

IdentifierTypeStateIssuer
9704442MedicaidMA
M17399OtherMABLUE SHIELD OF MASSACHUSE

National Provider Directory

National Provider Directory

Locations

275 Bicentennial Hwy
#M
Springfield, MA 01118
Phone (413) 783-3100

Practitioners & affiliated clinicians

Practitioners 4

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": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1063498376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181900",
            "telephone_number": "413-783-3100",
            "fax_number": "413-782-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181900",
            "telephone_number": "413-783-3100",
            "fax_number": "413-782-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M BERGER MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "413-783-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "33015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9704442",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MASSACHUSE",
            "identifier": "M17399",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.