John W Berkenbosch

MD | Pediatric Critical Care Medicine | Male

---

Complete Profile:

John W Berkenbosch basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Critical Care Medicine
Provider Name :	John W Berkenbosch
Credential :	MD
Gender :	Male

Business Address:

John W Berkenbosch address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	231 E Chestnut St Louisville, KY, 40202-1821 United States
Phone Number :	502-629-6000
Fax Number :	502-629-5865

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1275517179
NPI Entity Type :	Individual
First Enrolment Date :	05 Dec, 2005
Last Updated On :	12 Oct, 2020

Medicare Participation:

John W Berkenbosch participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2466429469
Medicare Enrollment ID :	I20040910000263
Primary Specialty :	Critical Care (intensivists)
Medical School :	Other
Graduation Year :	1993
Accepts Medicare?	Yes. John W Berkenbosch accepts medicare insurance.

Group Practice Association:

John W Berkenbosch is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which John W Berkenbosch is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Norton Childrens Medical Group Llc	3779917596	109	231 E Chestnut St Louisville, KY - 402021821	Yes
Norton Childrens Medical Group Llc	3779917596	109	601 S Floyd St Suite 604 Louisville, KY - 402021874 Ph: 5025591670	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John W Berkenbosch are as mentioned. Primary taxonomy code for John W Berkenbosch, MD is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
207LP3000X	Anesthesiology Pediatric Anesthesiology	No	38590	KY
208000000X	Pediatrics	No	38590	KY
2080P0203X	Pediatrics Pediatric Critical Care Medicine	Yes	38590	KY

Legacy Identifiers:

Other legacy medical identifiers of John W Berkenbosch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
64090947	MEDICAID	KY
200493520	MEDICAID	IN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 909 Louisville, KY, 40201-0909 United States
Phone Number :	502-629-6000
Fax Number :	502-629-5865

Business Location:

Patients can refer following map for directions to John W Berkenbosch practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.