Mark A Beresh, CRNA
Nurse Anesthetist, Certified Registered in Concord, NC. Individual provider (NPI-1).
NPI number1760409403
StatusActive
Last updated in NPPESApr 2, 2015
Details
- NPI
- 1760409403
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark A Beresh
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Apr 2, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 191398 | NC | Yes |
Practice location
920 Church St NConcord, NC 28025-2927
Phone 704-783-1622
Mailing address
362 Union St SConcord, NC 28025-5056
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 65 Certified Registered Nurse Anesthetist providers in Concord · All 4,546 providers in Concord
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