Provider Demographics
NPI:1205881836
Name:BERKSHIRE ANESTHESIOLOGISTS PC
Entity type:Organization
Organization Name:BERKSHIRE ANESTHESIOLOGISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:I
Authorized Official - Last Name:POMERANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-499-0141
Mailing Address - Street 1:100 NORTH ST
Mailing Address - Street 2:STE 413
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201
Mailing Address - Country:US
Mailing Address - Phone:413-499-0141
Mailing Address - Fax:413-443-7039
Practice Address - Street 1:725 N ST
Practice Address - Street 2:BERKSHIRE MEDICAL CENTER
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-447-2555
Practice Address - Fax:413-447-2889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MABEM12259OtherBCBS
MA9711139Medicaid
MA9711139Medicaid