Joseph Berdecia-Rodriguez, MD-PHD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

54017 Issued in MN

Practice address

512 Skyline Blvd
Cloquet, MN 55720-3787

Phone

(218) 879-4641

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Joseph Berdecia Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adair County Health Center, Inc.

  • Medical Specialty Clinic/Center
  • Stilwell, OK
  • NPI 1972780765
  NPD
• Minnesota Arthritis Center, PA

  • Physical Medicine & Rehabilitation Physician
  • Maplewood, MN
  • NPI 1740578749
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477589414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 PALM CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "406-470-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SKYLINE BLVD",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557203787",
            "telephone_number": "218-879-4641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Havre",
            "state": "MT",
            "postal_code": "595015323",
            "country_code": "US",
            "telephone_number": "406-470-6920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERDECIA-RODRIGUEZ",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD-PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "28260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "34357",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "54017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "BERDECIA",
            "prefix": "DR.",
            "credential": "MD-PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Be Still Services
• Pamela Beardslee, PHARMD
• Taylor Beckenbach, LMFT
• Grace Bennett, LICSW
• John Andrew Benson, D.C.
• Megan Berndt, DC
• Lindsie Biggerstaff, M.A. CCC-SLP
• Bio-Medical Applications of Minnesota, Inc.
• Birch & Pine Counseling PLLP
• Ryder Blu

• Family Medicine Physician in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.