Provider Demographics
NPI:1376861203
Name:BERKOWITZ, JOSHUA NORSTROM (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:NORSTROM
Last Name:BERKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3147 BIOINFORMATICS BUILDING CAMPUS BOX #7055
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7055
Mailing Address - Country:US
Mailing Address - Phone:919-966-7095
Mailing Address - Fax:919-966-6730
Practice Address - Street 1:6011 FARRINGTON RD STE 201
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8169
Practice Address - Country:US
Practice Address - Phone:984-974-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC2014-00538207RS0010X, 207XX0005X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics