Organization Active NPI

Berkshire Osteopathic Health, LLC

  • Family Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1689714040
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233633 Issued in MA
Legal business name
BERKSHIRE OSTEOPATHIC HEALTH, LLC
Practice address
42 Summer St
Suite 301
Pittsfield, MA 01201-4624
Phone
(413) 442-0085
Fax
(413) 464-9143
NPI assigned
Feb 7, 2007
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Maria A Holman, MA
Title
Ma and Office Manager
Phone
(413) 442-0085

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 233633 MA
Family Medicine Physician 207Q00000X 233633 MA Primary

Addresses

Primary practice location

42 Summer St
Suite 301
Pittsfield, MA 01201-4624

Mailing address

42 Summer St
Suite 301
Pittsfield, MA 01201-4624
Phone (413) 442-0085

Other identifiers 2

IdentifierTypeStateIssuer
M19088OtherMABCBS ID
9768190MedicaidMA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1046535Berkshire Osteopathic Health of BMC42 Summer St Ste 301, Pittsfield, MA 01201Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory

Locations

2 Park St
Ste 201
Adams, MA 01220
Phone (413) 442-0085

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1689714040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SUMMER ST",
            "address_2": "SUITE 301",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014624",
            "telephone_number": "413-442-0085",
            "fax_number": "413-464-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SUMMER ST",
            "address_2": "SUITE 301",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014624",
            "telephone_number": "413-442-0085",
            "fax_number": "413-464-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE OSTEOPATHIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MA AND OFFICE MANAGER",
        "authorized_official_telephone_number": "413-442-0085",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MA",
            "license": "233633",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "233633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "M19088",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9768190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.