Organization Active NPI

Berkbigler Orthopaedics and Sports Specialists LLC

  • Orthopaedic Surgery Physician
  • Farmington, MO
National Provider Identifier
1801443387
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200005304MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200616003284 MO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9234563925 Practice locations: Farmington, MO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.