Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kerry Mark Simon, MD

Individual provider Family Medicine Physician · NPI 1205823762

Dr. Kerry Mark Simon, MD is a Family Medicine Physician in Berlin, Wisconsin. Works from 2 locations. Licensed in Michigan and Wisconsin.

Licensed in
MI, WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

225 Memorial Dr Ste 1200
Berlin, WI 54923-1243
Phone: (920) 361-5770
Fax: (920) 361-5779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 220 S James St, Ludington, MI 49431-2104 — (231) 843-3700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 33205 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4310075257 (MI)

Record details

NPI number1205823762
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESDecember 31, 2018
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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