Michael Berdan, NP

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

206946 Issued in MA

Practice address

399 Revolution Dr
Suite 810
Somerville, MA 02145-1446

Phone

(888) 897-8947

Fax

(617) 526-1909

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1295937795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 REVOLUTION DR",
            "address_2": "SUITE 810",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451446",
            "telephone_number": "888-897-8947",
            "fax_number": "617-526-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 REVOLUTION DR",
            "address_2": "SUITE 810",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451446",
            "telephone_number": "888-897-8947",
            "fax_number": "617-526-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDAN",
        "first_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MA",
            "license": "206946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niva Belinkov
• Allison Belmonte, , CPN, FNP, CN
• Sally Benbasset, M.ED.
• Ranjeev Benjamin
• Herbert Blake Benton
• Rachel J Berger, M.D.
• Katarina Bergh, LIC.AC.
• Judith Bergson, MSW
• Michelle Berkenstock
• Marjorie Berkman, PTA

• Community Health Nurse Practitioner in Somerville, MA
• Providers in Somerville, MA by specialty
• Community Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.