Mark A Berman, MD
Individual provider Active NPI Family Medicine Physician · Dover, NH
NPI 1972559367 · NPPES record last updated Aug 22, 2013
Key facts
- NPI
- 1972559367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9669 (NH)
- Practice address
- 15 Old Rollinsford Rd
Suite 102
Dover, NH 03820-2868 - Phone
- (603) 742-7338
- Fax
- (603) 740-9528
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wentworth Douglass Physician Corporation
Practice addresses (Care Compare)
15 Old Rollinsford Rd
Suite 204
Dover, NH 03820-2869
Phone (603) 742-7338
Hospital & facility affiliations
- Cornerstone Vna
- Wentworth Home Care & Hospice, an Amedisys Partner
- Cornerstone Vna
- Wentworth-Douglass Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050525000939 | NH | Practitioner - Family Practice | 1052353422 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18166 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients | |
| Wentworth Douglass Physician Corporation | Family Medicine | Current |
Accepting new patients |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Westchester Neurological Consultant PC | Past | Accepting new patients |
Locations
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
15 Old Rollinsford Rd
Ste 204
Dover, NH 03820
Phone (603) 740-2130
10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 609-6930
15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338
750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030
36 Madbury Rd
Durham, NH 03824
Phone (603) 659-0901
73 Corporate Dr
Bldg B
Portsmouth, NH 03801
Phone (603) 610-8058
85 Main St
Somersworth, NH 03878
Phone (603) 692-5552
Interoperability endpoints
- berman.mark.wdh@direct.partners.masshiway.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9669 | NH | Yes |
| Family Medicine Physician | 207Q00000X | MD18166 | ME |
Addresses
Primary practice location
15 Old Rollinsford Rd
Suite 102
Dover, NH 03820-2868
Mailing address
789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-7338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3075878 | Medicaid | NH | |
| 1972559367 | Medicaid | ME |
Other providers in Dover, NH
- Courtney Bellino
- Carrie Benn
- Thomas Word Bennett
- Tessa Martha Bensew
- Martha Berk
- Erika J Bernier-Hockenhull
- Danielle C Berry
- Paul T Berry
- Marc R Bessette
- Amy Claire Bessnow
All providers in Dover, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.