Active NPI
Northern Berkshire Medical, PC
- Orthopaedic Surgery Physician
- Williamstown, MA
National Provider Identifier
1285184705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- NORTHERN BERKSHIRE MEDICAL, PC
- Practice address
- 375 Main St
Williamstown, MA 01267-2610 - Phone
- (413) 398-1000
- NPI assigned
- Oct 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carl Dobson, MD
- Title
- Medical Director
- Phone
- (802) 447-5208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
375 Main St
Williamstown, MA 01267-2610
Mailing address
375 Main St
Williamstown, MA 01267-2610
Phone (413) 398-1000
Other names 1
- Northern Berkshire Orthopedics, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, VT
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
375 Main St
Williamstown, MA 01267
Phone (413) 398-1000
Practitioners & affiliated clinicians
Practitioners 7
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": "1475798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491955200000",
"number": "1285184705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 MAIN ST",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012672610",
"telephone_number": "413-398-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 MAIN ST",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012672610",
"telephone_number": "413-398-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN BERKSHIRE MEDICAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-07",
"last_updated": "2017-04-12",
"status": "A",
"authorized_official_last_name": "DOBSON",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "802-447-5208",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northern Berkshire Orthopedics, PC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Williamstown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.