Individual provider Active NPI

Wendy Berenbaum, MD

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1568560043
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
27517 Issued in CO
Practice address
425 S. Cherry Street
Suite 300
Denver, CO 80246-1230
Phone
(303) 388-4631
Fax
(303) 320-6961
NPI assigned
Sep 20, 2006
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 27517 CO Primary

Addresses

Primary practice location

425 S. Cherry Street
Suite 300
Denver, CO 80246-1230

Mailing address

425 S. Cherry Street
Suite 300
Denver, CO 80246-1230
Phone (303) 388-4631

Other identifiers 1

IdentifierTypeStateIssuer
01275171MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20101124000890 CO Practitioner - Obstetrics/Gynecology 4486840899

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1568560043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S. CHERRY STREET",
            "address_2": "SUITE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461230",
            "telephone_number": "303-388-4631",
            "fax_number": "303-320-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S. CHERRY STREET",
            "address_2": "SUITE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461230",
            "telephone_number": "303-388-4631",
            "fax_number": "303-320-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENBAUM",
        "first_name": "WENDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "27517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01275171",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.