Active NPI
Michael J Berson, MD
- Urology Physician
- Kalispell, MT
National Provider Identifier
1588955256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 11464
- Practice address
- 169 Sunset TRL
Kalispell, MT 59901-7820 - Phone
- (406) 257-6888
- NPI assigned
- Apr 28, 2011
- Last updated
- Apr 28, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 11464 | MT | Primary |
Addresses
Primary practice location
169 Sunset TRL
Kalispell, MT 59901-7820
Mailing address
169 Sunset TRL
Kalispell, MT 59901-7820
Phone (406) 257-6888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21232 | GA | MD | Pastoral Counselor |
| 11464 | MT | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1588955256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 SUNSET TRL",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599017820",
"telephone_number": "406-257-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 SUNSET TRL",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599017820",
"telephone_number": "406-257-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERSON",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MT",
"license": "11464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
- Gelene M Berkram, FNP
- Kelly Kristine Berkram, M.D.
- Devynne Berry, DACM
- James D Berry, DACM
- Sara Louise Berry, RN
- Christina Bertalot, DPT
- Beth a. Horner O. D. P. C.
- Ellie Bicha, RDH, LAP
- Big Heart Family Dentistry, PLLC (Big Heart Family Dentistry)
- Big Sky Behavioral Health Dba Raleigh House at Montana (Raleigh House at Montana)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.