1. Home
  2. Directory
  3. Michigan
  4. Jackson
  5. Specialist
  6. NPI Profile

R M BEREDO M D P L L C
NPI 1912213604
Specialist in Jackson, MI

Active since August 19, 2010
426 N JACKSON ST, JACKSON, MI 49201(517) 788-6336(517) 788-9035 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About R M Beredo M D P L L C NPPES

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

R M BEREDO M D P L L C (NPI 1912213604) is a healthcare organization registered as a specialist in Jackson, Michigan and active in the NPI registry since August 2010. The organization lists Rolando M. Beredo, Owner, as its authorized official.

NPPES Registry Identity

NPI1912213604
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameR M BEREDO M D P L L C
Location Address426 N JACKSON STJackson, MI 49201-1235
Mailing Address426 N Jackson StJackson, MI 49201-1235 · (517) 788-6336 · Fax (517) 788-9035
Phone(517) 788-6336
Fax(517) 788-9035
Organization SubpartNo
Authorized OfficialRolando M. BeredoOwner · (517) 788-6336
Enumeration DateAugust 19, 2010
Last NPPES UpdateSeptember 21, 2010
✔ NPI 1912213604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301060312
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.
426 N JACKSON ST, Jackson, MI 49201
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0M90970MI

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

Other Providers at the Same Location NPPES 3

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

ROLANDO MANALO BEREDO MD
Internal Medicine
426 N JACKSON ST
JACKSON, MI 49201
Jackson County (517) 788-6336
R C BRILLANTES M D P L L C
Specialist
426 N JACKSON ST
JACKSON, MI 49201
Jackson County (517) 788-6446
RAFAEL C BRILLANTES MD
Internal Medicine
426 N JACKSON ST
JACKSON, MI 49201
Jackson County (517) 788-6446

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 R M Beredo M D P L L C's NPI number?

The NPI number for R M Beredo M D P L L C is 1912213604. It was assigned to this organization in the NPPES registry on August 19, 2010.

Where is R M Beredo M D P L L C located?

R M Beredo M D P L L C is located at 426 N Jackson St, Jackson, MI 49201. The listed phone number is (517) 788-6336.

What is R M Beredo M D P L L C'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 R M Beredo M D P L L C was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.