Nancy D. Berube, MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57314 Issued in MA

Legal business name

NANCY D. BERUBE, MD PC

Practice address

121 Lincoln St
Worcester, MA 01605-2429

Phone

(508) 756-0514

Fax

(508) 756-0843

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Nancy D. Berube, M.D.NPI 1538131867

Title

President

Phone

(508) 756-0514

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• Nancy D. Berube, M.D.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1538131867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841309010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052429",
            "telephone_number": "508-756-0514",
            "fax_number": "508-756-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052429",
            "telephone_number": "508-756-0514",
            "fax_number": "508-756-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY D. BERUBE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERUBE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-756-0514",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "57314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9728210",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Namumbejja Abwoye, NP
• Madiinah Namutebi
• Flaviah Dorothy Namuwaya
• Sharene Nana Adoma
• Roudrigue Nana
• Rajiv Nanda, DMD
• Dhinager Nandagopal, MD
• Sharon Nandkishore, M.D.
• Shashidhara Nanjundaswamy, MD
• Jasjyot K Nanra, MD

• Family Medicine Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Family Medicine Physician in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.