Basic Information
| Provider Information | |||||||||
| NPI: | 1376861203 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BERKOWITZ | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | NORSTROM | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3147 BIOINFORMATICS BUILDING CAMPUS BOX #7055 | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997055 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199667095 | ||||||||
| FaxNumber: | 9199666730 | ||||||||
| Practice Location | |||||||||
| Address1: | 6011 FARRINGTON RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275178169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9849745700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2010 | ||||||||
| LastUpdateDate: | 06/03/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RS0010X | NC2014-00538 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Sports Medicine | 207XX0005X | NC2014-00538 | NC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | 208000000X | NC2014-00538 | NC | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.