Berkshire Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BERKSHIRE MEDICAL GROUP PC

Practice address

777 North St
Suite 207
Pittsfield, MA 01201-4147

Phone

(413) 499-8510

Fax

(413) 499-8553

NPI assigned

Nov 14, 2006

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anne Shurtleff

Title

Practice Manager

Phone

(413) 499-8500

Specialties & licenses 1

Addresses

Other identifiers 7

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noel Blagg, M.D.

  • Internal Medicine Physician
  • Pittsfield, MA
  • NPI 1952394355
  NPD (past)
• Merriebeth Dodge, DO

  • Internal Medicine Physician
  • Oak Bluffs, MA
  • NPI 1801857933
  NPD (past)
• Sharon Gittzus, A.N.P.-C

  • Internal Medicine Physician
  • Pittsfield, MA
  • NPI 1265494439
  NPD (past)
• Harry Hartford, M.D.

  • Internal Medicine Physician
  • Pittsfield, MA
  • NPI 1669470456
  NPD (past)
• Pamela Miller

  • Internal Medicine Physician
  • Pittsfield, MA
  • NPI 1033170816
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1326110768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NORTH ST",
            "address_2": "SUITE 207",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014147",
            "telephone_number": "413-499-8510",
            "fax_number": "413-499-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NORTH ST",
            "address_2": "SUITE 207",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014147",
            "telephone_number": "413-499-8510",
            "fax_number": "413-499-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "SHURTLEFF",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "413-499-8500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "33453",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "687754",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "000000020924",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "7758",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17631",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9701567",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH5899",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berkshire Medical Center, Inc.
• Berkshire Medical Center, Inc.
• Berkshire Medical Center, Inc.
• Berkshire Medical Center, Inc.
• Berkshire Medical Center, Inc.
• Berkshire Medicine Inc.
• Berkshire Nurse Pratitioners, LLC
• Berkshire Orthodontics
• Berkshire Orthopaedic Associates, Inc. (Berkshire Sports & Physical Therapy)
• Berkshire Orthopaedic Associates, Inc.

• Internal Medicine Physician in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.