BORIS BEREJAN M.D. NPI 1215999347

NPI Information

  • NPI: 1215999347
  • Provider Name: BORIS BEREJAN, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 BREWSTER BLVD
    NAVAL HOSPITAL
    CAMP LEJEUNE, NC
    ZIP 28547
  • Phone: (910) 450-4159

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NPI Details

Boris Berejan, M.D. is an emergency medicine in Camp Lejeune, NC. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Boris Berejan, M.D. NPI is 1215999347. 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:

100 BREWSTER BLVD
NAVAL HOSPITAL
CAMP LEJEUNE, NC
ZIP 28547-538
Phone: (910) 450-4159
Fax: (910) 450-4194

The NPI 1215999347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 1/18/2011.

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
1207P00000XEmergency Medicine38470WISCONSINNo
2207P00000XEmergency Medicine200601041NORTH CAROLINAYes

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
1Q0104FMEDICAIDSOUTH CAROLINA
22065801MEDICARE PINNORTH CAROLINA
3P00268123OTHERWISCONSINMEDICARE RAILROAD
4144KKOTHERNORTH CAROLINABCBS
5P00229728OTHERWISCONSINMEDICARE RAILROAD
6002445034MEDICARE PINWISCONSIN
732331700MEDICAIDWISCONSIN
8002471116MEDICARE PINWISCONSIN
9F13906MEDICARE UPIN
105906740MEDICAIDNORTH CAROLINA
112065801BMEDICARE PINNORTH CAROLINA

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: 11/21/2025

NPI Synchronization or Removal

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