Active NPI
Roseann Berwald, MD
- Gynecology Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 70519
- Legal business name
- ROSEANN BERWALD, MD
- Practice address
- 370 Oak St
Brockton, MA 02301-1303 - Phone
- (508) 580-1508
- NPI assigned
- Jun 14, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roseann Berwald, MD
- Title
- Physician
- Phone
- (508) 580-1508
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 70519 | MA | Primary |
Addresses
Primary practice location
370 Oak St
Brockton, MA 02301-1303
Mailing address
370 Oak St
Brockton, MA 02301-1303
Phone (508) 580-1508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M19204 | Other | MA | BLUE CROSS BLUE SHIELD MA |
National Provider Directory
National Provider Directory- Tax ID family
- Rose Ann Berwald MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Gynecology Physician
- Stoughton, MA
- NPI 1194077909
Locations
370 Oak St
Brockton, MA 02301
Phone (508) 580-1508
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.
-
- Gynecology Physician
- Woburn, MA
- NPI 1346208303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700080454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 OAK ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011303",
"telephone_number": "508-580-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 OAK ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011303",
"telephone_number": "508-580-1508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEANN BERWALD, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERWALD",
"authorized_official_first_name": "ROSEANN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "508-580-1508",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MA",
"license": "70519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MA",
"identifier": "M19204",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.