MICHAEL BERDAN


Address: 399 Revolution Dr, Suite 810, Somerville, MA 02145-1446
Phone: 8888978947

MICHAEL BERDAN (NPI# 1295937795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295937795
Entity Type Individual
Full Name MICHAEL BERDAN
Credential NP
Practice Address 399 Revolution Dr
Suite 810
Somerville
MA 02145-1446
Practice Telephone 8888978947
Practice Fax Number 6175261909
Mailing Telephone 8888978947
Mailing Fax Number 6175261909
Enumeration Date 2007-06-05
Last Update Date 2016-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
206946 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 399 REVOLUTION DR
SUITE 810
City SOMERVILLE
State MA
Zip Code 02145-1446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982189379 Susan Garrels Social Worker 399 Revolution Dr, Somerville, MA 02145-1446 2018-10-01
1700369741 Sheryl Olshin Social Worker 399 Revolution Dr, Somerville, MA 02145-1446 2018-09-14
1376080911 The Spaulding Rehabilitation Hospital Corporation Ambulance 399 Revolution Dr, Ar01-6-6w63.09, Somerville, MA 02145-1446 2017-01-20
1417389800 Tanmayi Gupta Pharmacist 399 Revolution Dr, Somerville, MA 02145-1444 2013-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497230684 Marisa Katherine Glynn Psychologist 35 Edgar Avenue, Somerville, MA 02145 2018-10-03
1811478274 Rolanda Santos Prophete Counselor 18 Sargent Ave, Somerville, MA 02145 2018-08-23
1619465101 Shannon Comer Registered Nurse 64 Sycamore St Apartment 1, Somerville, MA 02145 2018-04-30
1184121261 Deborah Camara Social Worker 89 Cross Street, Apt 1, Somerville, MA 02145 2018-04-06
1073047569 Nicole Patzelt Dermatology 192a School St Apt 2, Somerville, MA 02145 2017-04-12
1316327018 Christina Gasbarro Family Medicine Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 2015-06-08
1902236359 Prativa Bhatta Counselor 76 Cross St, Somerville, MA 02145 2013-11-21
1427497015 Veronica Wu Physician Assistant 60 Clyde Street, #5, Somerville, MA 02145 2013-06-18
1790045797 Cambridge Health Alliance Rehabilitation Unit 2 Middlesex Avenue, Somerville, MA 02145 2012-05-23
1871809665 Lauren Holland Occupational Therapist 5 Middlesex Avenue, Somerville, MA 02145 2010-08-31
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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568664001 Kathryn J Foley Nurse Practitioner 31 Partridge Ave, Somerville, MA 02145-3629 2007-06-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093164345 Melissa Kelly Charles Nurse Practitioner 200 Nashua St, Boston, MA 02114-1105 2016-06-08
1063540326 Rita Olans Nurse Practitioner 18 Oriole Dr, Andover, MA 01810-3409 2007-03-01
1649718198 Julie Ann Pelletier Nurse Practitioner 326 Nichols Rd, Fitchburg, MA 01420-1914 2017-02-05
1730639253 Erin Muldoon Nurse Practitioner 55 West St, Walpole, MA 02081-1837 2016-10-07
1326495151 Kara Pesola Nurse Practitioner 47 Congress St, Salem, MA 01970-7308 2016-05-23
1073918876 Regina Roberto Nurse Practitioner 100 Institute Rd, Worcester, MA 01609-2247 2014-10-23
1508120445 Constance Mary Flynn Nurse Practitioner 165 Tor Ct, Pittsfield, MA 01201-3001 2012-06-26
1487947164 Stephanie Powers Convey Nurse Practitioner 269 Union St, Lynn, MA 01901-1314 2011-05-27
1295046076 Karla Hoxha Brown Nurse Practitioner 75 Kneeland St, Suite 201, Boston, MA 02111-1901 2010-06-28
1932352846 Winifred Marie Rioux Nurse Practitioner 253 Summer St, 5th Flr - Cma, Boston, MA 02210-1114 2008-10-23
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Competitor

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City SOMERVILLE
Zip Code 02145

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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