DR. KERRY MARK SIMON MD
NPI 1205823762
Family Medicine in Berlin, WI

Q: What is Kerry Simon's NPI number?

The NPI number for Kerry Simon is 1205823762. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Q: What is Kerry Simon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Simon was last updated on December 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 30, 2005

225 MEMORIAL DR STE 1200, BERLIN, WI 54923(920) 361-5770(920) 361-5779 Get Directions Write a Review

NPPES record last updated: December 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kerry Mark Simon Md NPPES

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

DR. KERRY MARK SIMON MD (NPI 1205823762) is an individual family medicine provider in Berlin, Wisconsin, licensed in Wisconsin (33205) and active in the NPI registry since September 2005. He maintains a secondary practice location in Ludington.

NPPES Registry Identity

NPI1205823762

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KERRY MARK SIMONCredential: MD

Location Address225 MEMORIAL DR STE 1200Berlin, WI 54923-1243

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(920) 361-5770

Fax(920) 361-5779

Sole ProprietorNo

Enumeration DateSeptember 30, 2005

Last NPPES UpdateDecember 31, 2018

✔ NPI 1205823762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 33205✔ Licensed in MI · 4310075257

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

225 MEMORIAL DR STE 1200, Berlin, WI 54923

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Secondary Practice Location 1

Location 1220 S James StLudington, MI 49431-2104 · Phone (231) 843-3700 · Fax (231) 843-4525

Other Providers at the Same Location NPPES 2

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

ABIGAIL K PUGLISI DO

Family Medicine

225 MEMORIAL DR STE 1200
BERLIN, WI 54923

Green Lake County (920) 361-5770

TODD M. BRADSHAW MD

Family Medicine

225 MEMORIAL DR STE 1200
BERLIN, WI 54923

Green Lake County (920) 361-5770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Simon's NPI number?

The NPI number for Kerry Simon is 1205823762. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Kerry Simon located?

Kerry Simon practices at 225 Memorial Dr Ste 1200, Berlin, WI 54923. The listed phone number is (920) 361-5770.

What is Kerry Simon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kerry Simon was last updated on December 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.