Active NPI
Berkbigler Orthopaedics and Sports Specialists LLC
- Orthopaedic Surgery Physician
- Farmington, MO
National Provider Identifier
1801443387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BERKBIGLER ORTHOPAEDICS AND SPORTS SPECIALISTS LLC
- Practice address
- 606 Maple Valley Dr
Farmington, MO 63640-1976 - Phone
- (573) 756-7779
- Fax
- (888) 849-3965
- NPI assigned
- Aug 20, 2019
- Last updated
- May 22, 2024
- 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
- Amy Ford
- Title
- Practiace Manager
- Phone
- (573) 756-7779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
606 Maple Valley Dr
Farmington, MO 63640-1976
Mailing address
606 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-7779
Other practice location 1
611 W Main St
Fredericktown, MO 63645-1111
Phone (573) 756-7779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200005304 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200616003284 | MO | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 9234563925 | Practice locations: Farmington, MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1801443387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 MAPLE VALLEY DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401976",
"telephone_number": "573-756-7779",
"fax_number": "888-849-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 MAPLE VALLEY DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401976",
"telephone_number": "573-756-7779",
"fax_number": "888-849-3965"
}
],
"practiceLocations": [
{
"address_1": "611 W Main St",
"address_purpose": "LOCATION",
"city": "Fredericktown",
"state": "MO",
"postal_code": "636451111",
"country_code": "US",
"telephone_number": "573-756-7779",
"fax_number": "888-849-3965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BERKBIGLER ORTHOPAEDICS AND SPORTS SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-20",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PRACTIACE MANAGER",
"authorized_official_telephone_number": "573-756-7779"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200005304",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.