Active NPI
Theodore Berk, M.D.
- Gastroenterology Physician
- Carlisle, PA
National Provider Identifier
1134229016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD024086E
- Practice address
- 241 Alexander Spring Rd
Carlisle, PA 17015-6953 - Phone
- (717) 245-2228
- Fax
- (717) 245-0806
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD024086E | PA | Primary |
Addresses
Primary practice location
241 Alexander Spring Rd
Carlisle, PA 17015-6953
Mailing address
241 Alexander Spring Rd
Carlisle, PA 17015-6953
Phone (717) 245-2228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008554050003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD024086E | PA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134229016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 ALEXANDER SPRING RD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170156953",
"telephone_number": "717-245-2228",
"fax_number": "717-245-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 ALEXANDER SPRING RD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170156953",
"telephone_number": "717-245-2228",
"fax_number": "717-245-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERK",
"first_name": "THEODORE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD024086E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008554050003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.