MICHAEL BERDAN (NPI# 1295937795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
399 REVOLUTION DR SUITE 810 |
City | SOMERVILLE |
State | MA |
Zip Code | 02145-1446 |
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 |
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 |
Find all providers in zip 02145 |
Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568664001 | Kathryn J Foley | Nurse Practitioner | 31 Partridge Ave, Somerville, MA 02145-3629 | 2007-06-05 |
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 |
Find all providers with the same taxonomy |
City | SOMERVILLE |
Zip Code | 02145 |
Please comment or provide details below to improve the information on MICHAEL BERDAN.
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.