EVA A BERARDELLI M.D. NPI 1629165469

NPI Information

NPI: 1629165469
Provider Name: EVA A BERARDELLI, M.D.
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
2030 MOUNTAIN VIEW AVE
LONGMONT, CO
ZIP 80501
Phone: (303) 709-9772
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Eva A Berardelli, M.D. is a rehabilitation practitioner in Longmont, CO. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Eva A Berardelli, M.D. NPI is 1629165469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2030 MOUNTAIN VIEW AVE
LONGMONT, CO
ZIP 80501-178
Phone: (303) 709-9772
Fax: (303) 652-0468

The enumeration date for this NPI number is 10/5/2006 and was last updated on 1/23/2012.

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	225400000X	Rehabilitation Practitioner		25586	COLORADO	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	C9081	MEDICARE PIN	COLORADO
2	D24662	MEDICARE UPIN	COLORADO

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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