Active NPIIndividual provider

Trevor M Berlo, PA-C

Physician Assistant in Worcester, Massachusetts

NPI Number1427417310
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
508-421-1085
Last updated
October 25, 2020

Trevor Matthew Berlo is a Physician Assistant based in Worcester, MA. Trevor Matthew Berlo practices in Worcester, MA and has the professional credentials of PA-C. The NPI Number for Trevor Matthew Berlo is 1427417310 and holds a License No. PA5686 (MA). The current practice location address for Trevor Matthew Berlo is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-426-5622 and via fax at 508-421-1085.

Provider Profile Details

NPI Number
1427417310
Provider Name
Trevor Matthew Berlo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-426-5622
Fax Number
508-421-1085
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2016
Last Update Date
October 25, 2020
Certification Date
October 25, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-426-5622
Fax Number
508-421-1085
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number
PA5686
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Trevor M Berlo, PA-C?

The NPI number of Trevor M Berlo, PA-C is 1427417310. It was assigned on February 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Trevor M Berlo, PA-C?

Trevor M Berlo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA5686.

Where does Trevor M Berlo, PA-C practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-426-5622 (phone) or 508-421-1085 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427417310 directly on the NPPES registry website.

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