Active NPI
Lorraine Mayer-Wolpert Berman, M.D.
- Vascular Surgery Physician
- Pinehurst, NC
National Provider Identifier
1366423170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2009-01449
- Practice address
- 5 First Village Dr
Pinehurst, NC 28374-8724 - Phone
- (910) 295-6831
- Fax
- (910) 235-2539
- NPI assigned
- Nov 9, 2005
- Last updated
- Aug 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2009-01449 | NC | Primary |
| 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 names 1
- Dr. Lorraine Mayer Wolpert
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037930 | CT | MD | Vascular Surgery Physician |
| 160722 | MA | 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
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Hamlet, NC
- NPI 1053558916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1366423170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FIRST VILLAGE DR",
"address_2": "P.O. BOX 2000",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748724",
"telephone_number": "910-295-6831",
"fax_number": "910-235-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FIRST VILLAGE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748724",
"telephone_number": "910-295-6831",
"fax_number": "910-235-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "LORRAINE",
"middle_name": "MAYER-WOLPERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "2009-01449",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101240881",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MA",
"license": "160722",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CT",
"license": "037930",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORRAINE",
"last_name": "WOLPERT",
"middle_name": "MAYER",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.