Active NPI
Andrew D Berube, ATC
- Athletic Trainer
- Haverhill, MA
National Provider Identifier
1295762920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 678
- Practice address
- 137 Monument St
Haverhill, MA 01832-2526 - Phone
- (978) 374-5762
- NPI assigned
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 678 | MA | Primary |
Addresses
Primary practice location
137 Monument St
Haverhill, MA 01832-2526
Mailing address
1129 N Broadway
Haverhill, MA 01832-1139
Phone (978) 373-7731
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 678 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295762920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 N BROADWAY",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018321139",
"telephone_number": "978-373-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MONUMENT ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018322526",
"telephone_number": "978-374-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERUBE",
"first_name": "ANDREW",
"middle_name": "D",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
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.