Provider Demographics
NPI:1265423008
Name:BERKSHIRE FACULTY SERVICES
Entity type:Organization
Organization Name:BERKSHIRE FACULTY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:W
Authorized Official - Last Name:BECKWITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-499-8570
Mailing Address - Street 1:777 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4147
Mailing Address - Country:US
Mailing Address - Phone:413-499-8566
Mailing Address - Fax:413-499-8565
Practice Address - Street 1:777 NORTH ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-499-8570
Practice Address - Fax:413-499-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
160029OtherMVP SELECT
MA9700421Medicaid
M17513OtherHMO BLUE
22D0976327OtherLAB #
0020240OtherNEIGHBORHOOD HEALTH
9700421OtherHEALTHY START
000000022177OtherBMC HEALTH NET PLAN
=========OtherGIC INDEMNITY PLAN
=========OtherHEALTH NEW ENGLAND
=========OtherMEDICARE RAILROAD
=========OtherNO AMERICAN ADMIN
0020240OtherNEIGHBORHOOD HEALTH
=========OtherCAPITAL DISTRICT PHP
=========OtherHMC PPO
000000022177OtherBMC HEALTH NET PLAN
=========OtherAETNA
=========OtherCIGNA
=========OtherHARVARD COMM HEALTH
=========OtherHARVARD COMM HEALTH