Jason Berendt in Conyers - Internal Medicine

Jason Berendt - NPI 1245266782

Jason Berendt is a Internal Medicine in Conyers, Georgia. Jason Berendt practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jason Berendt is 1245266782. The last update date is 2022-03-15.

Jason Berendt's current location address is 1445 Old Mcdonough Hwy Se Ste E, Conyers, Georgia. You can contact this provider via phone number 7709229222. The mailing address for Jason Berendt is 1445 Old Mcdonough Hwy Se Ste E, Conyers, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Berendt
Address 1445 Old Mcdonough Hwy Se Ste E, Conyers, Georgia
Phone Number 7709229222
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1245266782
Provider Enumeration Date 2006-06-25
Last Updated Date 2022-03-15

Provider Mailing Address Detail

Address 1445 Old Mcdonough Hwy Se Ste E
City Conyers
State Georgia (GA)
Post Code 300945977
Phone Number 7709229222
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 23298
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
571020809027 SC TRICARE SC
P00125604 SC RAILROAD MEDICARE
232983 SC --
571020809032 SC BCBS SC

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FAQs about Jason Berendt

What is the unique identification code assigned to Jason Berendt by the Centers for Medicare & Medicaid Services?

The Jason Berendt has been issued the NPI (National Provider Identifier) 1245266782. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jason Berendt is located?

The Jason Berendt is situated at the following address: 1445 Old Mcdonough Hwy Se Ste E, Conyers, GA, 300945977.

What is the area of specialization for Jason Berendt, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jason Berendt is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did Jason Berendt receive its 1245266782 assignment from the Centers for Medicare & Medicaid Services?

The Jason Berendt was assigned its 1245266782 on 2006-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jason Berendt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jason Berendt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-15.

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