Active NPI
Bereskin and Associates PC
- Family Medicine Physician
- Denver, CO
National Provider Identifier
1881793891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33655
- Legal business name
- BERESKIN AND ASSOCIATES PC
- Practice address
- 1850 Bassett St
404
Denver, CO 80202-1048 - Phone
- (720) 273-9598
- Fax
- (303) 974-1122
- NPI assigned
- Sep 22, 2006
- 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. Gayle Frankie Bereskin, D.O.
- Title
- Medical Director
- Phone
- (720) 273-9598
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33655 | CO | Primary |
Addresses
Primary practice location
1850 Bassett St
404
Denver, CO 80202-1048
Mailing address
1850 Bassett St
404
Denver, CO 80202-1048
Phone (720) 273-9598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01336551 | Medicaid | CO |
Other names 1
- Boulder Integrative Medicine
National Provider Directory
National Provider DirectoryLocations
5387 Manhattan Cir
Ste 202
Boulder, CO 80303
Phone (303) 499-0044
5589 Arapahoe Ave
Ste 201
Boulder, CO 80303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Greenwood Village, CO
- NPI 1316980972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321315200000",
"number": "1881793891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 BASSETT ST",
"address_2": "404",
"city": "DENVER",
"state": "CO",
"postal_code": "802021048",
"telephone_number": "720-273-9598",
"fax_number": "303-974-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 BASSETT ST",
"address_2": "404",
"city": "DENVER",
"state": "CO",
"postal_code": "802021048",
"telephone_number": "720-273-9598",
"fax_number": "303-974-1122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERESKIN AND ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2011-11-15",
"status": "A",
"authorized_official_last_name": "BERESKIN",
"authorized_official_first_name": "GAYLE",
"authorized_official_middle_name": "FRANKIE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "720-273-9598",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": "33655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01336551",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boulder Integrative Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.