Active NPI
Heidi Berube, M.D.
- Internal Medicine Physician
- Holden, MA
National Provider Identifier
1609925254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 73565
- Practice address
- Holden Christian Academy
C-O Heide Berub, M.D. 279 Reservoir St.
Holden, MA 01520 - Phone
- (508) 829-4418
- NPI assigned
- Jan 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73565 | MA | Primary |
Addresses
Primary practice location
Holden Christian Academy
C-O Heide Berub, M.D. 279 Reservoir St.
Holden, MA 01520
Mailing address
PO Box 247
Jefferson, MA 01522-0247
Phone (508) 829-4418
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73565 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609925254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "JEFFERSON",
"state": "MA",
"postal_code": "015220247",
"telephone_number": "508-829-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOLDEN CHRISTIAN ACADEMY",
"address_2": "C-O HEIDE BERUB, M.D. 279 RESERVOIR ST.",
"city": "HOLDEN",
"state": "MA",
"postal_code": "01520",
"telephone_number": "508-829-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERUBE",
"first_name": "HEIDI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "73565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.