Individual provider Active NPI

Dan Robert Berlowitz, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bedford, MA
National Provider Identifier
1497707004
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
52397 Issued in MA
Practice address
200 Springs Rd
Bedford VA Hospital (152)
Bedford, MA 01730-1114
Phone
(781) 687-2962
Fax
(781) 687-3106
NPI assigned
May 16, 2006
Last updated
May 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 52397 MA Primary

Addresses

Primary practice location

200 Springs Rd
Bedford VA Hospital (152)
Bedford, MA 01730-1114

Mailing address

200 Springs Rd
Bedford VA Hospital (152)
Bedford, MA 01730-1114
Phone (781) 687-2962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000225 MA Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 3375714785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1497707004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "address_2": "BEDFORD VA HOSPITAL (152)",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-687-2962",
            "fax_number": "781-687-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "address_2": "BEDFORD VA HOSPITAL (152)",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-687-2962",
            "fax_number": "781-687-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLOWITZ",
        "first_name": "DAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "52397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.