NPIMap

Organization Active NPI

Dennis P. Berk, M.D., P.C.

  • Specialist
  • Concord, MA
National Provider Identifier
1881878098
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29460 Issued in MA
Legal business name
DENNIS P. BERK, M.D., P.C.
Practice address
131 Old Road to Nine Acre Corner
John Cuming Buildng Suite 550
Concord, MA 01742
Phone
(978) 369-1524
Fax
(978) 369-9390
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Dennis P Berk, M.D.
Title
Owner
Phone
(978) 369-1524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29460 MA Primary

Addresses

Primary practice location

131 Old Road to Nine Acre Corner
John Cuming Buildng Suite 550
Concord, MA 01742

Mailing address

131 Old Road to Nine Acre Corner
John Cuming Buildng Suite 550
Concord, MA 01742
Phone (978) 369-1524

Other identifiers 4

IdentifierTypeStateIssuer
64674OtherMAHARVARD PILGRIM HEALTHCAR
M11914OtherMABLUE CROSS BLUE SHIELD
029460OtherMATUFTS HEALTH PLAN
9707913MedicaidMA

National Provider Directory

National Provider Directory

Locations

131 Ornac
Ste 550
Concord, MA 01742
Phone (978) 369-1524

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1881878098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO NINE ACRE CORNER",
            "address_2": "JOHN CUMING BUILDNG SUITE 550",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-369-1524",
            "fax_number": "978-369-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO NINE ACRE CORNER",
            "address_2": "JOHN CUMING BUILDNG SUITE 550",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-369-1524",
            "fax_number": "978-369-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS P. BERK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-369-1524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "29460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "64674",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M11914",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "029460",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9707913",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.