DAMIAN ESTEBAN BEREZOVSKY M.D. NPI 1144653437

NPI Information

NPI: 1144653437
Provider Name: DAMIAN ESTEBAN BEREZOVSKY, M.D.
Classification: Ophthalmology - 207WX0109X
Entity Type: Individual

Specialization: Neuro-ophthalmology

Organization: SAN CARLOS APACHE HEALTHCARE CORPORATION

PECOS Registration: Yes

Address:
240 W THOMAS RD # 400
PHOENIX, AZ
ZIP 85013
Phone: (602) 406-6262
Get Directions

Damian Esteban Berezovsky, M.D. is a neuro-ophthalmology ophthalmology in Phoenix, AZ with 16 years of experience. The provider is a neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. Damian Esteban Berezovsky, M.D. NPI is 1144653437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

240 W THOMAS RD # 400
PHOENIX, AZ
ZIP 85013-407
Phone: (602) 406-6262
Fax: (602) 406-6261

The NPI 1144653437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2013 and was last updated on 10/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	75927	GEORGIA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	53907	ARIZONA	No
3	207WX0109X	Ophthalmology	Neuro-ophthalmology	53907	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RS2013-0696	OTHER	NEW MEXICO	NEW MEXICO TRAINING LICENSE
2	75927	OTHER	GEORGIA	GA MEDICAL LICENSE
3	284746	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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