Berkshire Brain Injury & Neurological Services, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

217893 Issued in MA

Legal business name

BERKSHIRE BRAIN INJURY & NEUROLOGICAL SERVICES, P.C.

Practice address

210 South St
Pittsfield, MA 01201-6825

Phone

(413) 464-0290

Fax

(413) 464-0292

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Marie Deibert, M.D.NPI 1669439428

Title

President

Phone

(413) 464-0290

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen M Deibert, MD

  • Neurology Physician
  • York, PA
  • NPI 1669439428
  NPD (past) Authorized official

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1386957116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016825",
            "telephone_number": "413-464-0290",
            "fax_number": "413-464-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016825",
            "telephone_number": "413-464-0290",
            "fax_number": "413-464-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE BRAIN INJURY & NEUROLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "DEIBERT",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-464-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "217893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Richard Berger, MED, MA-C
• Christina Berkeley
• Jamie L Berkowitz, PA
• Berkshire Allergy Care, P.C.
• Berkshire Anesthesiologists PC
• Berkshire Care Inc
• Berkshire CBT Services, LLC
• Berkshire Chiropractic Services, P.C.
• Berkshire Clinical Associates LLC
• Berkshire Colon & Rectal Surgery, LLC

• Neurology Physician in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Neurology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.