Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Bereket T Woldemariam, PA-C
Physician Assistant in Liberal, KS · enumerated 2015.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1578950119
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Registry record
Entity type Individual (Type 1)
Name Mr. Bereket T Woldemariam
Credential PA-C
Sex Male
Practice address 315 W 15th St, Liberal, KS, 67901
Phone (620) 629-6477
Fax (620) 629-6651
Enumeration date Apr 21, 2015
Last updated in NPPES Mar 8, 2017
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1501810 (KS) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201129150A | Medicaid | KS | - |
| 200647940A | Medicaid | OK | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Bereket Woldemariam?
Bereket Woldemariam is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-08.