Individual provider Active NPI

Lorraine Mayer-Wolpert Berman, M.D.

  • Vascular Surgery Physician
  • Pinehurst, NC
National Provider Identifier
1366423170
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2009-01449 Issued in NC
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
037930CTMDVascular Surgery Physician
160722MAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamlet PPM LLC Past Accepting new patients
Hamlet Hma PPM LLC Vascular Surgery Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.