Active NPI
Brian David Berger, M.D.
- Radiation Oncology Physician
- Newton, KS
National Provider Identifier
1003852385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 04-37008
- Practice address
- 730 Medical Center Dr
Newton, KS 67114-8778 - Phone
- (316) 283-1141
- Fax
- (316) 283-1162
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 04-37008 | KS | Primary |
Addresses
Primary practice location
730 Medical Center Dr
Newton, KS 67114-8778
Mailing address
4 Palisades Dr
Ste 200
Albany, NY 12205-1443
Phone (785) 488-8016
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147144303 | Medicaid | TX | |
| 147144304 | Medicaid | TX | |
| 201095280B | Medicaid | KS | |
| 8P8210 | Other | TX | BCBS |
| 201095280A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-37008 | KS | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network-Neurosurgical Associates, LLP | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Dallas, TX
- NPI 1437154077
Radiation Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1003852385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PALISADES DR",
"address_2": "STE 200",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051443",
"telephone_number": "785-488-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 MEDICAL CENTER DR",
"city": "NEWTON",
"state": "KS",
"postal_code": "671148778",
"telephone_number": "316-283-1141",
"fax_number": "316-283-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KS",
"license": "04-37008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147144303",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147144304",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201095280B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8P8210",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201095280A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.