Organization Active NPI

Eric S. Berens, MD, PC

  • Vascular Surgery Physician
  • Tucson, AZ
National Provider Identifier
1184842460
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ERIC S. BERENS, MD, PC
Practice address
6565 E Carondelet Dr
Ste. 235
Tucson, AZ 85710-2157
Phone
(520) 296-5500
Fax
(520) 296-5800
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Eric S Berens
Title
President
Phone
(520) 296-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

6565 E Carondelet Dr
Ste. 235
Tucson, AZ 85710-2157

Mailing address

6565 E Carondelet Dr
Ste. 235
Tucson, AZ 85710-2157
Phone (520) 296-5500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1184842460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR",
            "address_2": "STE. 235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102157",
            "telephone_number": "520-296-5500",
            "fax_number": "520-296-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR",
            "address_2": "STE. 235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102157",
            "telephone_number": "520-296-5500",
            "fax_number": "520-296-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC S. BERENS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "BERENS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-296-5500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.