Organization Active NPI

Berkower Pain & Spine Rehabilitation, Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pembroke Pines, FL
National Provider Identifier
1285077834
Registry record updated Apr 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS8977 Issued in FL
Legal business name
BERKOWER PAIN & SPINE REHABILITATION, INC
Practice address
1 SW 129TH Ave
Suite 305
Pembroke Pines, FL 33027-1761
Phone
(954) 430-9972
Fax
(954) 430-9902
NPI assigned
Apr 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2013

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

Authorized official

Name
David Berkower, D.O.NPI 1043324429
Title
Physician
Phone
(305) 785-1288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X OS8977 FL Primary

Addresses

Primary practice location

1 SW 129TH Ave
Suite 305
Pembroke Pines, FL 33027-1761

Mailing address

1 SW 129TH Ave
Pembroke Pines, FL 33027-1761
Phone (954) 430-9972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130807000766 FL Part B Supplier - Clinic/Group Practice 5496997223 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL; Pembroke Pines, FL
O20171103000051 FL DME Supplier - Physician - General Practice 5496997223 Practice locations: Pembroke Pines, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2057521Berkower Pain and Spine Rehabilitation Inc1 SW 129TH Ave Ste 305, Pembroke Pines, FL 33027Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory

Locations

1 SW 129th Ave
Ste 305
Pembroke Pines, FL 33027
Phone (954) 430-9972

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCIACA

Practitioners & affiliated clinicians

Practitioners 1

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": "1365897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365897600000",
    "number": "1285077834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "954-430-9972",
            "fax_number": "954-430-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "address_2": "SUITE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "954-430-9972",
            "fax_number": "954-430-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKOWER PAIN & SPINE REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-14",
        "last_updated": "2013-04-14",
        "status": "A",
        "authorized_official_last_name": "BERKOWER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-785-1288",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS8977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.