NPIMap

Organization Active NPI

Berks Endocrinology,LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Wyomissing, PA
National Provider Identifier
1255657516
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD024803E Issued in PA
Legal business name
BERKS ENDOCRINOLOGY,LLC
Practice address
1030 Reed Ave
Suite 116
Wyomissing, PA 19610-2039
Phone
(610) 373-7743
Fax
(610) 378-9337
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Dr. David C Deibert, M.D.
Title
President
Phone
(610) 373-7743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MD024803E PA Primary

Addresses

Primary practice location

1030 Reed Ave
Suite 116
Wyomissing, PA 19610-2039

Mailing address

5026 Oley Turnpike Rd
Reading, PA 19606-9116
Phone (610) 779-5943

National Provider Directory

National Provider Directory

Practitioners 5

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": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1255657516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 OLEY TURNPIKE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069116",
            "telephone_number": "610-779-5943",
            "fax_number": "610-378-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 REED AVE",
            "address_2": "SUITE 116",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102039",
            "telephone_number": "610-373-7743",
            "fax_number": "610-378-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS ENDOCRINOLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "DEIBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-373-7743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD024803E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.