NPIMap

Organization Active NPI

Berkshire Family Practice Associates , PC

  • Family Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1952963548
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BERKSHIRE FAMILY PRACTICE ASSOCIATES , PC
Practice address
20 Elm St
Pittsfield, MA 01201-6502
Phone
(413) 445-3131
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Dr. Jonathan Grenoble, MDNPI 1205869047
Title
MD/President
Phone
(413) 445-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

20 Elm St
Pittsfield, MA 01201-6502

Mailing address

20 Elm St
Pittsfield, MA 01201-6502
Phone (413) 445-3131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015000267 MA Part B Supplier - Clinic/Group Practice 0244561710 Receives reassigned benefits from 16 practitioners
Practice locations: North Adams, MA; Pittsfield, MA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: daniellehodorowski@combfp.medalliesdirect.net
  • Direct secure messaging: tiffanypoplaski@combfp.medalliesdirect.net
  • Direct secure messaging: robertlee@combfp.medalliesdirect.net
  • Direct secure messaging: michaelmurray@combfp.medalliesdirect.net
  • Direct secure messaging: angelaavanzato@combfp.medalliesdirect.net
  • Direct secure messaging: craigkirby@combfp.medalliesdirect.net
  • Direct secure messaging: catherinekeating@combfp.medalliesdirect.net
  • Direct secure messaging: marjoriedevries@combfp.medalliesdirect.net
  • Direct secure messaging: jonathangrenoble@combfp.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1952963548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "413-445-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "413-445-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE FAMILY PRACTICE ASSOCIATES , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "GRENOBLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "413-445-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.