Kenneth Berkshire

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G41547 Issued in CA

Practice address

200 Allagosh Dr Apt 243
Morrisville, NC 27560-9490

Phone

(910) 855-0580

NPI assigned

May 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621728000000",
    "number": "1083289052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ALLAGOSH DR APT 243",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALLAGOSH DR APT 243",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609490",
            "telephone_number": "910-855-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKSHIRE",
        "first_name": "KENNETH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G41547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elv",
            "affiliation": "N",
            "address_1": "200 Allagosh Dr Apt 243",
            "city": "Morrisville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275609490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dallas Deneen Belford, PA-C
• Ashley Marie Bell, PHARMD
• Taylor Monet Belton
• Benchmark Physical Therapy of NC, LLC
• Tiffany Benoit, COTA
• Emma Berry
• Johnny James Bethea II, RPH
• Erica Bevilacqua
• Samta Ashok Bhakta, ANP-BC
• Bilingual Caring Hearts, Inc.

• Family Medicine Physician in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.