Kelly Kristine Berkram, M.D.
Individual provider Active NPI Family Medicine Physician · Kalispell, MT
NPI 1497825178 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1497825178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11740 (MT)
- Practice address
- 28 Village Loop Rd
Kalispell, MT 59901-2793 - Phone
- (406) 571-3909
- Fax
- (406) 285-8088
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 23, 2024 through Aug 23, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11770 | MT | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11770 | MT | |
| Family Medicine Physician | 207Q00000X | 11740 | MT | Yes |
Addresses
Primary practice location
28 Village Loop Rd
Kalispell, MT 59901-2793
Mailing address
28 Village Loop Rd
Kalispell, MT 59901-2793
Phone (406) 571-3909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497825178 | Medicaid | MT | |
| 1497825178 | Other | MT | BCBS |
Other providers in Kalispell, MT
- Jessica Ann Benninghoven
- Mae O Berentson
- Douglas D Berglund
- Joseph Henry Bergman
- Gelene M Berkram
- Devynne Berry
- James D Berry
- Sara Louise Berry
- Michael J Berson
- Christina Bertalot
All providers in Kalispell, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.