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NORTHERN BERKSHIRE SPORTS MEDICINE INC
NPI 1750440277
Specialist in North Adams, MA

Active since December 08, 2006
40 MAIN STREET, SUITE 103, NORTH ADAMS, MA 01247(413) 663-5450(413) 664-8737 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northern Berkshire Sports Medicine Inc NPPES

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

NORTHERN BERKSHIRE SPORTS MEDICINE INC (NPI 1750440277) is a healthcare organization registered as a specialist in North Adams, Massachusetts and active in the NPI registry since December 2006. The organization lists Paul J Donovan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1750440277
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHERN BERKSHIRE SPORTS MEDICINE INC
Location Address40 MAIN STREET, SUITE 103North Adams, MA 01247-3416
Mailing Address40 Main Street, Suite 103North Adams, MA 01247-3416 · (413) 663-5450 · Fax (413) 664-8737
Phone(413) 663-5450
Fax(413) 664-8737
Organization SubpartNo
Authorized OfficialPaul J DonovanMedical Director · (413) 663-5450
Enumeration DateDecember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750440277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 053990
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.
40 MAIN STREET, North Adams, MA 01247
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Other Identifiers 2

OtherM15970MA · Blue Shield Group Number
Medicaid9773398MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Northern Berkshire Sports Medicine Inc's NPI number?

The NPI number for Northern Berkshire Sports Medicine Inc is 1750440277. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Northern Berkshire Sports Medicine Inc located?

Northern Berkshire Sports Medicine Inc is located at 40 Main Street Suite 103, North Adams, MA 01247. The listed phone number is (413) 663-5450.

What is Northern Berkshire Sports Medicine Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Northern Berkshire Sports Medicine Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.