John Fox Bershof MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

26056 Issued in CO

Legal business name

JOHN FOX BERSHOF MD PC

Practice address

4500 E 9TH Ave
100
Denver, CO 80220-3900

Phone

(303) 399-7662

Fax

(303) 399-1314

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Fox Bershof, M.D.NPI 1316029937

Title

Owner

Phone

(303) 399-7662

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Fox Bershof, M.D.

  • Specialist
  • Denver, CO
  • NPI 1316029937
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1770775272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203900",
            "telephone_number": "303-399-7662",
            "fax_number": "303-399-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203900",
            "telephone_number": "303-399-7662",
            "fax_number": "303-399-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN FOX BERSHOF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "BERSHOF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FOX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-399-7662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "26056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240005333",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28323",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew F Johannesman, P.T.
• Carl Johannsen, RN
• Carrie Johansson, PSY.D.
• Sharon Young Johansson, L.P.C., N.C.C
• Karen E Johler
• John K Lee DDS PLLC
• John M Flanigan DDS PC
• John S. Graves, M.D., P.C.
• John Sander PLLC
• John Sander PLLC

• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.