LAURIE D BERDAHL MD
NPI 1194710392
Specialist in Greeley, CO

Q: What is Laurie Berdahl's NPI number?

The NPI number for Laurie Berdahl is 1194710392. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Laurie Berdahl's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Laurie Berdahl was last updated on November 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2005

2410 W 16TH ST, GREELEY, CO 80634(970) 352-6353(970) 356-2264 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Laurie D Berdahl Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE D BERDAHL MD (NPI 1194710392) is an individual specialist in Greeley, Colorado, licensed in Colorado (35412) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1194710392

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameLAURIE D BERDAHLCredential: MD

Location Address2410 W 16TH STGreeley, CO 80634-6004

Mailing Address2410 W 16th StGreeley, CO 80634-6004 · (970) 352-6353 · Fax (970) 356-2264

Phone(970) 352-6353

Fax(970) 356-2264

Sole ProprietorNo

Enumeration DateSeptember 13, 2005

Last NPPES UpdateNovember 30, 2011

✔ NPI 1194710392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CO · 35412

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2410 W 16TH ST, Greeley, CO 80634

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Other Identifiers 8

Other10381125CO · Caqh

Medicare UPING31657CO

Medicare UPINCOAAA0026CO

Medicaid01354125CO

Other84059236906CO · Pacificare

Other840592369006CO · Rocky Mtn Health

Medicare PINC98998CO

OtherBE41887CO · Bcbs

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL S HIRATZKA MD

Specialist