Active NPI
Daniel Levy Bercowski, DDS, MS, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Durham, NC
National Provider Identifier
1609882802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12970
- Practice address
- 3475 Erwin Rd
Durham, NC 27705-0005 - Phone
- (919) 681-8555
- Fax
- (199) 681-8704
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DNF000333 | GA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 32688 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12970 | NC | Primary |
Addresses
Primary practice location
3475 Erwin Rd
Durham, NC 27705-0005
Mailing address
3475 Erwin Rd
Durham, NC 27705-0005
Phone (919) 681-8555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067552437A | Medicaid | GA | |
| ZG0333 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DNF000333 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 32688 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 12970 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Au Dental Associates | Past | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
Interoperability endpoints
- dlevybercowski566489@direct.medicine.duke.edu
Organizations & group practices 2
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Dentist
- Augusta, GA
- NPI 1457541781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1609882802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3475 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277050005",
"telephone_number": "919-681-8555",
"fax_number": "199-681-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277050005",
"telephone_number": "919-681-8555",
"fax_number": "199-681-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY BERCOWSKI",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS, MS, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DNF000333",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "32688",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "12970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067552437A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZG0333",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.