Active NPI
Andrew Thomas Berwick
- Sports Medicine (Emergency Medicine) Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 4301103580
- Practice address
- 6071 W Outer Dr
Detroit, MI 48235-2624 - Phone
- (313) 966-1020
- NPI assigned
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301103580 | MI | |
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 4301103580 | MI | Primary |
Addresses
Primary practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300
Hospital & facility affiliations
- Sinai-Grace Hospital
- Harper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301103580 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scheurer Hospital | Current | Accepting new patients | |
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Scheurer Hospital | Emergency Medicine | Current | Accepting new patients |
| Scheurer Hospital | Current | Accepting new patients | |
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| Medical Center Emergency Services | Current | Accepting new patients |
Locations
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
23823 Ford Rd
Dearborn, MI 48128
Phone (313) 277-4146
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
Interoperability endpoints
- aberwick56732@direct.hfhs.org
- aberwick@direct.dmc.org
- aberwick126974@direct.covenanthealthcare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Detroit, MI
- NPI 1902855711
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Emergency Medicine Physician
- Pigeon, MI
- NPI 1154491926
-
- Critical Access Hospital
- Pigeon, MI
- NPI 1437102993
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Rural Health Clinic/Center
- Sebewaing, MI
- NPI 1053957738
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1457794836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERWICK",
"first_name": "ANDREW",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301103580",
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "MI",
"license": "4301103580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.