Lorraine Mayer-Wolpert Berman, M.D.
Individual provider Active NPI Vascular Surgery Physician · Pinehurst, NC
NPI 1366423170 · NPPES record last updated Aug 21, 2009
Key facts
- NPI
- 1366423170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 2009-01449 (NC)
- Practice address
- 5 First Village Dr
Pinehurst, NC 28374-8724 - Phone
- (910) 295-6831
- Fax
- (910) 235-2539
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037930 | CT | MD | Vascular Surgery Physician |
| 160722 | MA | MD | Vascular Surgery Physician |
| 0101240881 | VA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamlet PPM LLC | Past | Accepting new patients | |
| Hamlet Hma PPM LLC | Vascular Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12291/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2009-01449 | NC | Yes |
| Vascular Surgery Physician | 2086S0129X | 0101240881 | VA | |
| Vascular Surgery Physician | 2086S0129X | 160722 | MA | |
| Vascular Surgery Physician | 2086S0129X | 037930 | CT |
Addresses
Primary practice location
5 First Village Dr
Pinehurst, NC 28374-8724
Mailing address
5 First Village Dr
P.O. Box 2000
Pinehurst, NC 28374-8724
Phone (910) 295-6831
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0129691 | Medicaid | MA |
Other names
- Dr. Lorraine Mayer Wolpert
Other providers in Pinehurst, NC
- Paul Eugene Benfield
- Cynthia Benjamin
- Shaniqua Bennett
- Carl W Berk
- Joel Alan Berman
- Kimberlee Young Berner
- Jennifer Fernandez Berry
- John Berry VII
- Robin E Berry
- Best Day Psychiatry and Counseling, PC
All providers in Pinehurst, NC · Vascular Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.