Active NPI
Morton Phillip Berenson, MD
- Internal Medicine Physician
- Columbus, GA
National Provider Identifier
1184720401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11581
- Practice address
- 1905 7TH Avenue
Suite a
Columbus, GA 31901-1563 - Phone
- (706) 324-3392
- Fax
- (706) 323-8481
- NPI assigned
- Sep 15, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11581 | GA | Primary |
Addresses
Primary practice location
1905 7TH Avenue
Suite a
Columbus, GA 31901-1563
Mailing address
1905 7TH Avenue
Suite a
Columbus, GA 31901-1563
Phone (706) 324-3392
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 |
|---|---|---|---|
| 11581 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Education and Research Foundation | Past | Accepting new patients | |
| Internal Medicine Education & Research Foundation of Columbus, Inc | Past | Accepting new patients | |
| Community Dialysis Center of Columbus | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184720401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 7TH AVENUE",
"address_2": "SUITE A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011563",
"telephone_number": "706-324-3392",
"fax_number": "706-323-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 7TH AVENUE",
"address_2": "SUITE A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011563",
"telephone_number": "706-324-3392",
"fax_number": "706-323-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENSON",
"first_name": "MORTON",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "11581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
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.